NursGuru
    ATI NURS125 Maternal Newborn Proctored exam
    A nurse is caring for a 45-year-old light-skinned male client who has an ileostomy in an inpatient setting. Exhibits A nurse is reviewing the client's medical record. Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding. Nurses Notes: Day 1: The client's abdomen is soft and nondistended, with the presence of an ileostomy. The stoma is red and is draining brown liquid stool. The client refuses to look at the stoma and expresses no interest in learning about stoma care. Day 2: The ileostomy pouch was changed. The skin surrounding the stoma is reddened and has small open areas. The client continues to refuse to look at the stoma and is not interested in learning about its care. During cleaning, a small amount of bleeding was noted from the stoma. Physical Examination Results: The client appears alert and oriented to person, place, and time. His abdomen is soft and nondistended with an ileostomy present. The stoma is red and draining brown liquid stool. The skin surrounding the stoma is reddened with small open areas. During cleaning, a small amount of bleeding was noted from the stoma.

    Sign in to reveal the correct answer & rationale

    A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.