Nurse Moose
    Fundamentals of nursing proctored exam (University of texas)

    You are providing care for a patient who had an ileostomy placed one week ago after a bowel resection. You note the following findings during your assessment (see chart below): Stoma Assessment Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact. Output Liquid stool that is malodorous. Gas present in the appliance. General Status Patient is avoiding looking at the ileostomy during care. Laboratory Data Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL) What finding is most concerning to the nurse?