2026\2027
The nurse recognizes water effluent coming from the ostomy is indicative of what location: - correct
answer 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: - correct answer 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? - correct answer 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? -
correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer Empty the pouch when it is 1/3 - 1/2 full.