WEB WOC OSTOMY CARE Final Exam
Newest Exam Preparation With Complete
Questions And Correct Answers With
Rationales | Already Graded A+
jejunostomy location - ,,,ANSWER,,,,LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ,,,ANSWER,,,,ischemic bowel,
crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or
without small bowel resection, loop or end stoma
jejunostomy function and management - ,,,ANSWER,,,,*function begins
in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive
enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ,,,ANSWER,,,,*monitor for electrolyte
imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ,,,ANSWER,,,,RUQ
,ileostomy disease and procedure - ,,,ANSWER,,,,crohn's, ulcerative
colitis, familial adenomatous polyposis, trauma, necrotizing enterocolitis,
cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy for
ileal pouch-anal anastomosis
ileostomy function and management - ,,,ANSWER,,,,*function begins in
24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum
stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - ,,,ANSWER,,,,*high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ,,,ANSWER,,,,RUQ or LUQ
transverse colostomy disease and procedure - ,,,ANSWER,,,,diverticulitis,
colon cancer, crohn's, perforated bowel, congenital disease
(Hirschprung's)
diversion of large bowel at the transverse colon, with or without
colectomy, usually temporary loop stoma
transverse colostomy function and management - ,,,ANSWER,,,,*function
begins within 48 hours
*initially gas, then mushy or semi-formed
, *may have urge to poop with mucous from rectum
*no effect on nutritional absorption
transverse colostomy complications - ,,,ANSWER,,,,*waistline location
can be difficult to manage
descending colostomy location - ,,,ANSWER,,,,LLQ
descending colostomy disease and procedure - ,,,ANSWER,,,,colorectal
cancer, trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or
permanent end colostomy with Hartmann's pouch (sewing shut top of
rectum with ability to reconnect to GI tract later)
descending colostomy function and management -
,,,ANSWER,,,,*function may not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications - ,,,ANSWER,,,,*monitor, prevent,
and manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - ,,,ANSWER,,,,total proctocolectomy
performed and abdominal ileal pouch is made. The continence
mechanism is a nipple valve constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - ,,,ANSWER,,,,usually done in 1, 2,
or 3 stages
Newest Exam Preparation With Complete
Questions And Correct Answers With
Rationales | Already Graded A+
jejunostomy location - ,,,ANSWER,,,,LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ,,,ANSWER,,,,ischemic bowel,
crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or
without small bowel resection, loop or end stoma
jejunostomy function and management - ,,,ANSWER,,,,*function begins
in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive
enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ,,,ANSWER,,,,*monitor for electrolyte
imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ,,,ANSWER,,,,RUQ
,ileostomy disease and procedure - ,,,ANSWER,,,,crohn's, ulcerative
colitis, familial adenomatous polyposis, trauma, necrotizing enterocolitis,
cancer, ischemic bowel
total proctocolectomy with end ileostomy, total proctocolectomy with
continent ileostomy, temporary ileostomy, temporary loop ileostomy for
ileal pouch-anal anastomosis
ileostomy function and management - ,,,ANSWER,,,,*function begins in
24-48 hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum
stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - ,,,ANSWER,,,,*high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ,,,ANSWER,,,,RUQ or LUQ
transverse colostomy disease and procedure - ,,,ANSWER,,,,diverticulitis,
colon cancer, crohn's, perforated bowel, congenital disease
(Hirschprung's)
diversion of large bowel at the transverse colon, with or without
colectomy, usually temporary loop stoma
transverse colostomy function and management - ,,,ANSWER,,,,*function
begins within 48 hours
*initially gas, then mushy or semi-formed
, *may have urge to poop with mucous from rectum
*no effect on nutritional absorption
transverse colostomy complications - ,,,ANSWER,,,,*waistline location
can be difficult to manage
descending colostomy location - ,,,ANSWER,,,,LLQ
descending colostomy disease and procedure - ,,,ANSWER,,,,colorectal
cancer, trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or
permanent end colostomy with Hartmann's pouch (sewing shut top of
rectum with ability to reconnect to GI tract later)
descending colostomy function and management -
,,,ANSWER,,,,*function may not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications - ,,,ANSWER,,,,*monitor, prevent,
and manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - ,,,ANSWER,,,,total proctocolectomy
performed and abdominal ileal pouch is made. The continence
mechanism is a nipple valve constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - ,,,ANSWER,,,,usually done in 1, 2,
or 3 stages
