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6 years ago
A nurse assessing a client with an ostomy appliance documents the condition prolapse in the client chart and notifies the physician. Which of the following statements describes this condition?
 
  A) The peristomal skin is excoriated or irritated because the appliance is cut too large.
  B) The system has leaks or poor adhesion leading to noticeable odor.
  C) The bag continues to come loose and become inverted.
  D) The stoma is protruding into the bag and may become twisted.
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6 years ago
Ans: D
During prolapse, the stoma is protruding into the bag. The nurse should have the client rest for 30 minutes and, if stoma is not back to normal size within that time, notify the physician. If stoma stays prolapsed, it may twist, resulting in impaired circulation to the stoma.
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