The practical nurse (PN) is performing stoma care with a client. While cleaning around the stoma, the PN notices blood on the washcloth. Which action should the PN take next?

A. Place a pre-moistened dressing on the stomal site: Applying a dressing over the stoma without further assessment may interfere with visualization and proper cleaning, and it does not address the source of the minor bleeding observed during care. B. Apply firm pressure with a dry gauze to the stoma: Applying pressure directly to the stoma can cause trauma and worsen bleeding. Gentle handling is essential, as minor oozing is common due to the stoma’s vascular nature. C. Stop the stomal care and notify the healthcare provider: Notifying the provider is important if bleeding is significant or persistent, but minor bleeding from the stoma during routine care is usually expected. Immediate cessation is not necessary unless there is active hemorrhage. D. Continue to clean around the skin surrounding the stomal site: Minor bleeding is common because the stoma tissue is highly vascular. The PN should proceed with gentle cleaning to maintain skin integrity and complete proper stoma care, documenting the observation and monitoring for any increase in bleeding.