WEB WOC Ostomy Care Questions with 100% Correct Answers.

Jejunostomy location Correct Answer LUQ *frequently not marked by the WOC nurse Jejunostomy disease and procedure Correct 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 Correct 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 Correct Answer *monitor for electrolyte imbalances and dehydration *size pouch correctly to prevent leakage *may need to change pouch every 2-3 days Ileostomy location Correct Answer RUQ Ileostomy disease and procedure Correct 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 Correct 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 Correct 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 Correct Answer RUQ or LUQ