Practice Quiz

CCRN Nursing Exam Prep - Adult Critical Care

Category - Medical Surgical

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Mr. HP recently undergone a colostomy. During his first day post-operative, the nurse does not find any measurable fecal drainage from the colostomy. What should the nurse do?
  1. Continue the current plan of care
  2. Call the doctor immediately
  3. Irrigate the stoma
  4. Encourage the patient to increase fluid intake
Explanation
Answer - A - Continue the current plan of care because the colostomy is expected not to function for 2 days or more (48 to 72 hours) after surgery. The drainage that is expected at this time is only mucous and serosanguinous, thus the doctor need not be notified and the stoma should not be irrigated at this time.
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