Final answer:
Necrosis at an ostomy site can be indicated by skin discoloration, a foul smell, increased pain, warmth, edema, and unusual discharge. Prompt medical intervention is required to treat necrosis.
Step-by-step explanation:
A nurse is caring for a client with an ostomy. Indications of necrosis at the ostomy site can include signs such as discoloration of the skin around the stoma, with the skin becoming dark (blackish coloration), a putrid smell, increased pain, warmth, or edema in surrounding tissue, and discharge that may be purulent or have an unusual color. Necrosis involves the death of tissue and urgent clinical intervention is needed to prevent further complications.
Hospital and care facility protocols generally involve regular evaluation and monitoring of ostomy sites for any signs of infection or complications. Patients should be educated on the symptoms of necrosis and infection, and instructed to seek medical attention promptly if these symptoms develop.