WEB WOC OSTOMY CARE Final Exam
with Complete Questions And Correct
Answers Graded A+Guaranteed 100%
pass
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
the colon and most of the rectum are removed, but the anus remains intact, a pouch is
constructed from the ileum and anastomosed to the distal rectum, a temporary loop
ileostomy is created to divert stool while the anastomosis heals, the ileostomy is taken
down once the suture lines heal and normal bowel function is restored
ileal/colon conduit location - ANSWER-ileal: RLQ
colon: LLQ
ileal/colon conduit disease and procedure - ANSWER-bladder cancer, neurogenic
bladder, refractory interstitial cystitis, pre-existing small bowel disease indicates use of
colon conduit instead
segment of small bowel is brought to the skin and anastomosed with the ureters,
sigmoid colon is used instead of small bowel in colon conduit
ileal/colon conduit function and management - ANSWER-*functions immediately with
clear or blood tinged urine
*mucous threads are normal as the conduit was made from bowel which secretes
mucous
*empty pouch when 1/3 to 1/2 full, change every 3-7 days
*can attach to straight drainage at night/in bed for prolonged periods
ileal/colon conduit complications - ANSWER-*hyperchloremic hypokalemic metabolic
acidosis
*pyelonephritis or long term kidney damage
*late onset vitamin B12 deficiency
indiana pouch location - ANSWER-RLQ
indiana pouch disease and procedure - ANSWER-bladder cancer, neurogenic bladder,
pelvic exenteration
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
with Complete Questions And Correct
Answers Graded A+Guaranteed 100%
pass
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
the colon and most of the rectum are removed, but the anus remains intact, a pouch is
constructed from the ileum and anastomosed to the distal rectum, a temporary loop
ileostomy is created to divert stool while the anastomosis heals, the ileostomy is taken
down once the suture lines heal and normal bowel function is restored
ileal/colon conduit location - ANSWER-ileal: RLQ
colon: LLQ
ileal/colon conduit disease and procedure - ANSWER-bladder cancer, neurogenic
bladder, refractory interstitial cystitis, pre-existing small bowel disease indicates use of
colon conduit instead
segment of small bowel is brought to the skin and anastomosed with the ureters,
sigmoid colon is used instead of small bowel in colon conduit
ileal/colon conduit function and management - ANSWER-*functions immediately with
clear or blood tinged urine
*mucous threads are normal as the conduit was made from bowel which secretes
mucous
*empty pouch when 1/3 to 1/2 full, change every 3-7 days
*can attach to straight drainage at night/in bed for prolonged periods
ileal/colon conduit complications - ANSWER-*hyperchloremic hypokalemic metabolic
acidosis
*pyelonephritis or long term kidney damage
*late onset vitamin B12 deficiency
indiana pouch location - ANSWER-RLQ
indiana pouch disease and procedure - ANSWER-bladder cancer, neurogenic bladder,
pelvic exenteration
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
