OSTOMY CARE UPDATED EXAM SCRIPT QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔What are the characteristics of a ascending colostomy? - ✔✔The ascending colon
remains and the remainder of the colon is removed or bypassed
✔✔T or F: Ascending colostomies ALWAYS need a pouch. - ✔✔True
✔✔What are the characteristics of transverse colostomies? - ✔✔A piece of the
transverse colon is lifted through an abdominal incision and a rod or bridge is placed
under the loop to give it support while it heals
✔✔What is the most common site for temporary colostomies? - ✔✔Transverse colon
✔✔What are the two types of transverse colostomies? - ✔✔Loop and double-barrel
✔✔What is the distinguishing characteristic of a loop transverse colostomy? - ✔✔There
are two holes that are so close together they combine into one opening
✔✔What are the characteristics of a double-barrel colostomy? - ✔✔Both ends of the
colon are brought through the abdominal wall characterized by two stomas that are
sutured to the abdominal wall
✔✔What is the distal stoma called in a double-barrel transverse colostomy? -
✔✔Mucous fistula
✔✔What does each tract discharge in a loop transverse colostomy? - ✔✔One tract
discharges fecal material while the other tract discharges mucus - minimal amounts of
stool and mucus seep through the rectum
✔✔T or F: A descending and/or sigmoid colostomy must always use a pouch. -
✔✔False, either a pouch or irrigation can be used.
✔✔Are digestive enzymes typically present in the discharge from a descending or
sigmoid colostomy? - ✔✔No
✔✔What is the purpose of a urinary diversion? - ✔✔To divert urine through an opening
in the abdominal wall
✔✔What are the types of urinary diversions? - ✔✔Ileal conduit, ureterostomy,
cystostomy, and continent urinary diversion
✔✔Ileal conduit - ✔✔The bladder is removed, ureters are implanted in the bowel, and
one end of the bowel is brought through the abdomen
, ✔✔T or F: Ileal conduits always need a pouching system. - ✔✔True
✔✔Ureterostomy - ✔✔Ureters (one or both) detached from bladder and brought through
abdominal wall
✔✔Cystostomy - ✔✔Has to be done when a blockage of the urethra occurs, the urine is
diverted directly from the bladder
✔✔T or F: Cystostomies always require a pouch. - ✔✔True
✔✔What is a continent urinary diversion also known as? - ✔✔Indiana Pouch
✔✔Continent urinary diversion - ✔✔Cecum and ileum are brought through the
abdominal wall; a bladder is created from parts of the intestine!
✔✔What are the ureters attached to in a continent urinary diversion? - ✔✔To the cecum
✔✔Where is the ileum attached in a continent urinary diversion? - ✔✔Reattached to the
colon
✔✔What part of the intestine is responsible for the continent mechanism? - ✔✔Ileocecal
valve
✔✔How is the pouch emptied in a continent urinary diversion? - ✔✔Via a catheter
✔✔Is an external pouch needed in a continent urinary diversion? - ✔✔No
✔✔What are the characteristics of an ideal ostomy pouching system? - ✔✔Leak-proof,
odor-proof, comfortable, easily manipulated, inconspicuous, safe, and inexpensive
✔✔What is the purpose of an ostomy pouch? - ✔✔To collect effluent
✔✔What are the components of a pouching system? - ✔✔Adhesive skin barrier,
collection pouch, and/or accessories
✔✔What is an alternative to a pouch for infants? - ✔✔A diaper
✔✔Pouches can be either... - ✔✔A one-piece system or a two-piece system, reusable
or disposable, opaque or clear, pre-cut or cut-to-fit, open-bottom or closed-bottom
✔✔One-piece pouch system - ✔✔Skin barrier and pouch are one piece
AND SOLUTIONS GUARANTEE A+
✔✔What are the characteristics of a ascending colostomy? - ✔✔The ascending colon
remains and the remainder of the colon is removed or bypassed
✔✔T or F: Ascending colostomies ALWAYS need a pouch. - ✔✔True
✔✔What are the characteristics of transverse colostomies? - ✔✔A piece of the
transverse colon is lifted through an abdominal incision and a rod or bridge is placed
under the loop to give it support while it heals
✔✔What is the most common site for temporary colostomies? - ✔✔Transverse colon
✔✔What are the two types of transverse colostomies? - ✔✔Loop and double-barrel
✔✔What is the distinguishing characteristic of a loop transverse colostomy? - ✔✔There
are two holes that are so close together they combine into one opening
✔✔What are the characteristics of a double-barrel colostomy? - ✔✔Both ends of the
colon are brought through the abdominal wall characterized by two stomas that are
sutured to the abdominal wall
✔✔What is the distal stoma called in a double-barrel transverse colostomy? -
✔✔Mucous fistula
✔✔What does each tract discharge in a loop transverse colostomy? - ✔✔One tract
discharges fecal material while the other tract discharges mucus - minimal amounts of
stool and mucus seep through the rectum
✔✔T or F: A descending and/or sigmoid colostomy must always use a pouch. -
✔✔False, either a pouch or irrigation can be used.
✔✔Are digestive enzymes typically present in the discharge from a descending or
sigmoid colostomy? - ✔✔No
✔✔What is the purpose of a urinary diversion? - ✔✔To divert urine through an opening
in the abdominal wall
✔✔What are the types of urinary diversions? - ✔✔Ileal conduit, ureterostomy,
cystostomy, and continent urinary diversion
✔✔Ileal conduit - ✔✔The bladder is removed, ureters are implanted in the bowel, and
one end of the bowel is brought through the abdomen
, ✔✔T or F: Ileal conduits always need a pouching system. - ✔✔True
✔✔Ureterostomy - ✔✔Ureters (one or both) detached from bladder and brought through
abdominal wall
✔✔Cystostomy - ✔✔Has to be done when a blockage of the urethra occurs, the urine is
diverted directly from the bladder
✔✔T or F: Cystostomies always require a pouch. - ✔✔True
✔✔What is a continent urinary diversion also known as? - ✔✔Indiana Pouch
✔✔Continent urinary diversion - ✔✔Cecum and ileum are brought through the
abdominal wall; a bladder is created from parts of the intestine!
✔✔What are the ureters attached to in a continent urinary diversion? - ✔✔To the cecum
✔✔Where is the ileum attached in a continent urinary diversion? - ✔✔Reattached to the
colon
✔✔What part of the intestine is responsible for the continent mechanism? - ✔✔Ileocecal
valve
✔✔How is the pouch emptied in a continent urinary diversion? - ✔✔Via a catheter
✔✔Is an external pouch needed in a continent urinary diversion? - ✔✔No
✔✔What are the characteristics of an ideal ostomy pouching system? - ✔✔Leak-proof,
odor-proof, comfortable, easily manipulated, inconspicuous, safe, and inexpensive
✔✔What is the purpose of an ostomy pouch? - ✔✔To collect effluent
✔✔What are the components of a pouching system? - ✔✔Adhesive skin barrier,
collection pouch, and/or accessories
✔✔What is an alternative to a pouch for infants? - ✔✔A diaper
✔✔Pouches can be either... - ✔✔A one-piece system or a two-piece system, reusable
or disposable, opaque or clear, pre-cut or cut-to-fit, open-bottom or closed-bottom
✔✔One-piece pouch system - ✔✔Skin barrier and pouch are one piece
