護理師對一位剛做完結腸造口術的病人進行指導,哪項徵象需立即回報?
A nurse is providing discharge teaching to a patient with a new colostomy. Which finding should the nurse instruct the patient to report immediately?
- ADark red or purple discoloration of the stoma✓ 正解造口呈暗紅或紫色
- BMucoid discharge from the stoma造口有黏液排出
- CMild swelling of the stoma造口輕微腫脹
- DSmall amount of bleeding when cleaning清潔時有少量出血
結腸造口術(Colostomy)術後,評估造口(Stoma)的血循狀態是術後護理的優先事項。健康的造口應呈現粉紅色或鮮紅色且濕潤,這代表血液灌流良好。若造口呈現深紅色、紫色、黑色或蒼白,則強烈暗示缺血(Ischemia)或壞死(Necrosis),這是嚴重的外科急症,可能導致穿孔或腹膜炎,必須立即通知醫師進行緊急評估。
After colostomy surgery, assessing the perfusion (blood circulation) of the stoma is the top priority in postoperative nursing care. A healthy stoma should appear pink or bright red and moist, indicating good blood flow. If the stoma appears dark red, purple, black, or pale, this strongly suggests ischemia or necrosis — a serious surgical emergency that may lead to perforation or peritonitis and requires immediate notification of the physician for urgent evaluation.