💊 NCLEX-RN Exam Prep

A patient with a new colostomy complains of severe abdominal cramping, distension, and has had no stool output for 12 hours. What is the nurse's priority action?

A Administer a prescribed opioid for pain.
B Irrigate the colostomy with 500 mL of warm water.
C Assess the stoma for color, swelling, and patency.
D Encourage the patient to increase fluid intake.

✓ Correct Answer: Option C

Severe cramping and no output suggest a potential obstruction. The priority is to assess the stoma's condition and patency, as immediate intervention may be needed to prevent further complications.

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