一位55歲男性因大腸癌剛接受永久性降結腸造口術，目前為術後第 3 天。護理師取下造口袋以進行造口周圍皮膚護理與衛教。病患第一次看見自己的造口，他變得非常狂躁並說：「我的天！它看起來好深紅、有些腫脹，像極了濕潤的生肉。妳看，妳剛擦拭它的時候，黏液裡竟然混合了一點點血跡！它是不是嚴重感染且正在大出血了？」護理師最具臨床適切性的回應為何？

A 55-year-old male is 3 days postoperative following a permanent descending colostomy placement for colon cancer. The nurse removes the ostomy pouch to perform peristomal skin care and teach the client. Looking at his stoma for the first time, he becomes frantic, stating, "My God! It's so beefy-red, swollen, and looks like wet raw meat. And look, there is a tiny amount of blood mixed in the mucus when you wiped it! Is it severely infected and hemorrhaging?" What is the nurse's most clinically appropriate response?

• A“You are correct to be alarmed. That slightly bloody mucus and extreme redness definitely indicate a massive localized infection.”
  您感到驚慌是正確的。那些帶有少量血跡的黏液和極度的紅腫確實指示了嚴重的局部感染。
• B“This is extremely dangerous. I must cover it tightly with dry gauze and immediately contact the surgical team for suspected organ necrosis.”
  這非常危險。我必須用乾紗布緊密覆蓋它，並立即聯繫外科團隊以懷疑器官壞死。
• C“The redness is concerning. We will need to soak your stoma continuously with hydrogen peroxide to bleach out those bacterial colonies.”
  紅腫令人擔憂。我們需要持續用雙氧水浸泡您的造口，以漂白血菌叢。
• D“A beefy-red, moist appearance with mild postoperative swelling and slight oozing of blood from wiping are all perfectly normal, healthy signs of excellent blood flow.”✓ 正解
  深紅色、濕潤的外觀，加上術後輕微的水腫以及擦拭時出現的少量滲血，都是血流良好、健康造口的正常現象。