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健康促進與維護 · MEDIUM · MCQ

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
Explanation · 中文詳解

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.

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