What observation would indicate a prolapsed stoma in a client after colostomy surgery?

A prolapsed stoma occurs when the stoma extends beyond its normal position, often resulting in an elongated and swollen appearance. This condition arises when the intestines protrude further through the abdominal wall than is typical, causing the stoma to appear more prominent and possibly swollen.

The observation of an elongated and swollen stoma is a clear manifestation of prolapse, which can lead to complications such as obstruction or ischemia if left untreated. In clinical practice, recognizing these signs is crucial for timely intervention and management to ensure the health and comfort of the client following colostomy surgery.

The other observations, such as a sunken stoma or a dusky and bluish stoma, would suggest different issues, such as retraction or ischemia, respectively, rather than prolapse. Identifying the correct appearance of a prolapsed stoma allows healthcare professionals to provide appropriate care and take necessary steps to manage the condition effectively.