medium · NCLEX-RN basic-care

A client with a 2-day-old colostomy has not yet passed stool or gas. The client's abdomen is soft and non-distended with active bowel sounds.

Which interpretation is correct?

  1. This is a normal progression as the bowel recovers from anesthesia
  2. The client requires an immediate tap-water enema through the stoma
  3. The stoma is likely obstructed by an internal suture
  4. The client is developing a late-stage paralytic ileus

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