A nurse is reinforcing teaching about ostomy care with a client who has a new colostomy. Which of the following findings should the nurse instruct the client to report to the provider?

A. Noticeable stool odor: Some odor is expected with normal colostomy output and can be managed with proper pouching and hygiene. This finding alone does not indicate a complication and typically does not require provider notification. B. Purplish stoma: A purplish or dark-colored stoma may indicate compromised blood flow, ischemia, or necrosis, which is a medical emergency. Prompt reporting allows immediate assessment and intervention to prevent tissue death or further complications. C. Slight bleeding around the stoma: Minor bleeding from the stoma or the surrounding skin can occur due to irritation or minor trauma during pouch changes. This is usually not urgent but should be monitored for worsening signs. D. Soft, unformed stools: Variations in stool consistency are common after colostomy surgery, especially with diet changes. Soft stools are typically expected and do not signal a complication that requires immediate provider notification.