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Exam (elaborations)

NR 443 CHAPTER 26: THE PATIENT WITH AN OSTOMY

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A 47-year-old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery. Which assessment should the nurse report and record? a. Vital signs are temperature, 100° F; pulse, 92 beats/min; and blood pressure, 160/98 mm Hg. b. Stoma is swollen and red; small amount of blood is observed at the base. c. Pouch has drained 110 mL of green-brown liquid, oozing from the pouch edges. d. Stoma is protruding.

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NR 443
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  • a 47 year old patient with a permanent colostomy reports some abdominal discomfort and rigidity 3 days after surgery which assessment should the nurse report and record a vital signs are temperatur
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