ANSWERS
The-nurse-recognizes-water-effluent-coming-from-the-ostomy-is-indicative-of-what-
location:---ans-✔✔Ilial-portion-of-the-small-intestine
The-nurse-notices-that-the-effluent-ranges-from-a-thick-liquid-to-a-semi-formed-stool,-
indicative-of-which-location:---ans-✔✔transverse-or-ascending-colon
The-nurse-is-caring-for-a-patient-who-had-a-colostomy-placed-5-days-earlier.-The-nurse-
notes-that-the-stoma-is-red-and-moist.-Which-action-should-the-nurse-take?---ans-
✔✔Note-the-condition-of-the-stoma-in-her-notes.
In-caring-for-a-patient-who-had-a-fecal-surgical-diversion,-which-nursing-intervention-is-
essential?---ans-✔✔Place-a-pouch-over-the-newly-created-stoma.
When-planning-care-for-a-patient-who-has-a-colostomy,-which-intervention-is-important-for-
the-nurse-to-perform-when-pouching-the-colostomy?---ans-✔✔Leave-an-intact-skin-
barrier-in-place-for-3-7-days.
When-providing-care-for-a-patient-with-a-colostomy-or-ileostomy,-the-nurse-recognizes-
that-which-is-an-expected-assessment-finding?---ans-✔✔A-moist,-reddish-pink-stoma.
The-nurse-is-caring-for-a-preterm-infant-in-the-neonatal-ICU-who-has-multiple-stomas.-
Given-the-uniqueness-of-infants,-which-action-is-essential-for-the-nurse-to-take?---ans-
✔✔Use-a-pouch-that-can-accommodate-increased-amounts-of-flatus.
In-caring-for-a-patient-who-has-a-pouching-for-a-noncontinent-urinary-diversion,-which-
nursing-intervention-is-essential?---ans-✔✔Empty-the-pouch-when-it-is-1/3---1/2-full.
When-assessing-the-patient-with-a-noncontinent-urinary-diversion,-the-nurse-finds-that-
the-urine-has-mucous-shreds.-What-action-should-the-nurse-take?---ans-✔✔Note-the-
characteristics-of-the-urine-in-her-notes.