WEB WOC OSTOMY CARE ACTUAL EXAM
WITH QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS
The patient at greatest risk for dehydration and electrolyte imbalance is the
patient with a/an:
Select one:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
b. Ileal conduit.
c. Perforated bowel and loop ileostomy.
d. Orthotopic neobladder. - ANSWER-a. Loop ileostomy and IPAA (ileal pouch
anal anastomosis).
Six months postoperatively, you can expect the patient with which of the
following urinary diversions to be using bedside drainage at night?
Select one:
a. Indiana pouch
b. Mitrofanoff procedure
c. Koch pouch
d. Ileal conduit - ANSWER-d. Ileal conduit
Spontaneous closure of an enterocutaneous fistula is unlikely to occur when:
,Select one:
a. The patient's albumin level is 3.4.
b. A distal bowel obstruction exists.
c. The fistula output is less than 100 mL.
d. The patient is on antibiotics. - ANSWER-b. A distal bowel obstruction exists.
You have applied a liquid skin barrier under the adhesive surface of a fistula
pouch. You indicate to the nursing staff that the rationale for this intervention is
to protect the skin from:
Select one:
a. Chemical injury.
b. Allergy to adhesives.
c. Contact with skin barrier pastes.
d. Mechanical injury. - ANSWER-d. Mechanical injury.
In general, the infant is so small in weight that they have more skin surface
through which to absorb chemicals placed on the skin (transepidermal
absorption). Which of the following nursing interventions demonstrates an
understanding of that information?
Select one:
a. Generous use of liquid skin barrier products to reduce the risk of epidermal
stripping.
b. Avoiding the use of solvents on the skin.
c. Minimal use of solid wafer skin barriers.
d. Using EMLA or lidocaine topically to reduce the discomfort of perineal
dermatitis. - ANSWER-b. Avoiding the use of solvents on the skin.
,A patient has a high output enterocutaneous fistula with a pouch seal that has no
leakage between changes (every 3-4 days). Removing the pouch skin barrier
you notice a solid patch of raised erythematous skin that matches the size of the
skin barrier. The patient is complaining of itching. What is the most likely
etiology of this skin condition?
Select one:
a. Sensitivity or Allergy to the skin barrier.
b. Mechanical irritation during removal of adhesive.
c. Irritant dermatitis.
d. Folliculitis. - ANSWER-a. Sensitivity or Allergy to the skin barrier.
The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of pouching system?
Select one:
a. Flexibility - all flexible pouching system.
b. Firm surface to provide support.
c. Can be either flexible or firm pouching system.
d. Need more information. - ANSWER-b. Firm surface to provide support.
The presence of mucus shreds in the urine after an Indiana pouch is:
Select one:
a. Indicative of a urinary tract infection.
b. Considered normal.
c. Typical of dehydration.
d. Associated with an anastomotic leak. - ANSWER-b. Considered normal.
, Which of the statements about ostomy equipment is correct?
Select one:
a. Skin barrier and pouch should be applied before the skin sealant (also known
as a liquid skin barrier) dries.
b. A skin barrier paste is essential to use for urinary and fecal ostomy care.
c. A skin barrier powder should be applied liberally to the peristomal skin to
prevent moisture buildup.
d. A flexible skin barrier surface is usually indicated when the abdomen is firm.
- ANSWER-d. A flexible skin barrier surface is usually indicated when the
abdomen is firm.
Two of the MOST important assessments to make when determining the
pouching procedure and equipment to use postoperatively are:
Select one:
a. The size of the stoma (height, size) and the softness or firmness of the
abdomen in the peristomal field.
b. Whether it is a permanent or temporary type of stoma construction and odor.
c. Pouching equipment most familiar to the patient and their manual dexterity.
d. Patient's hand preference (right versus left) and stoma size. - ANSWER-a.
The size of the stoma (height, size) and the softness or firmness of the abdomen
in the peristomal field.
The PRIMARY intervention for the treatment and prevention of
pseudoverrucous lesions is:
Select one:
a. Resize the pouching system to the size of the base of the stoma to cover up
the lesions.
WITH QUESTIONS AND ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS
The patient at greatest risk for dehydration and electrolyte imbalance is the
patient with a/an:
Select one:
a. Loop ileostomy and IPAA (ileal pouch anal anastomosis).
b. Ileal conduit.
c. Perforated bowel and loop ileostomy.
d. Orthotopic neobladder. - ANSWER-a. Loop ileostomy and IPAA (ileal pouch
anal anastomosis).
Six months postoperatively, you can expect the patient with which of the
following urinary diversions to be using bedside drainage at night?
Select one:
a. Indiana pouch
b. Mitrofanoff procedure
c. Koch pouch
d. Ileal conduit - ANSWER-d. Ileal conduit
Spontaneous closure of an enterocutaneous fistula is unlikely to occur when:
,Select one:
a. The patient's albumin level is 3.4.
b. A distal bowel obstruction exists.
c. The fistula output is less than 100 mL.
d. The patient is on antibiotics. - ANSWER-b. A distal bowel obstruction exists.
You have applied a liquid skin barrier under the adhesive surface of a fistula
pouch. You indicate to the nursing staff that the rationale for this intervention is
to protect the skin from:
Select one:
a. Chemical injury.
b. Allergy to adhesives.
c. Contact with skin barrier pastes.
d. Mechanical injury. - ANSWER-d. Mechanical injury.
In general, the infant is so small in weight that they have more skin surface
through which to absorb chemicals placed on the skin (transepidermal
absorption). Which of the following nursing interventions demonstrates an
understanding of that information?
Select one:
a. Generous use of liquid skin barrier products to reduce the risk of epidermal
stripping.
b. Avoiding the use of solvents on the skin.
c. Minimal use of solid wafer skin barriers.
d. Using EMLA or lidocaine topically to reduce the discomfort of perineal
dermatitis. - ANSWER-b. Avoiding the use of solvents on the skin.
,A patient has a high output enterocutaneous fistula with a pouch seal that has no
leakage between changes (every 3-4 days). Removing the pouch skin barrier
you notice a solid patch of raised erythematous skin that matches the size of the
skin barrier. The patient is complaining of itching. What is the most likely
etiology of this skin condition?
Select one:
a. Sensitivity or Allergy to the skin barrier.
b. Mechanical irritation during removal of adhesive.
c. Irritant dermatitis.
d. Folliculitis. - ANSWER-a. Sensitivity or Allergy to the skin barrier.
The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of pouching system?
Select one:
a. Flexibility - all flexible pouching system.
b. Firm surface to provide support.
c. Can be either flexible or firm pouching system.
d. Need more information. - ANSWER-b. Firm surface to provide support.
The presence of mucus shreds in the urine after an Indiana pouch is:
Select one:
a. Indicative of a urinary tract infection.
b. Considered normal.
c. Typical of dehydration.
d. Associated with an anastomotic leak. - ANSWER-b. Considered normal.
, Which of the statements about ostomy equipment is correct?
Select one:
a. Skin barrier and pouch should be applied before the skin sealant (also known
as a liquid skin barrier) dries.
b. A skin barrier paste is essential to use for urinary and fecal ostomy care.
c. A skin barrier powder should be applied liberally to the peristomal skin to
prevent moisture buildup.
d. A flexible skin barrier surface is usually indicated when the abdomen is firm.
- ANSWER-d. A flexible skin barrier surface is usually indicated when the
abdomen is firm.
Two of the MOST important assessments to make when determining the
pouching procedure and equipment to use postoperatively are:
Select one:
a. The size of the stoma (height, size) and the softness or firmness of the
abdomen in the peristomal field.
b. Whether it is a permanent or temporary type of stoma construction and odor.
c. Pouching equipment most familiar to the patient and their manual dexterity.
d. Patient's hand preference (right versus left) and stoma size. - ANSWER-a.
The size of the stoma (height, size) and the softness or firmness of the abdomen
in the peristomal field.
The PRIMARY intervention for the treatment and prevention of
pseudoverrucous lesions is:
Select one:
a. Resize the pouching system to the size of the base of the stoma to cover up
the lesions.
