Web Woc Ostomy Care Final Exam Newest Actual Exam Complete 100 Questions And Correct Detailed Answers (Verified Answers)

WEB WOC OSTOMY CARE FINAL EXAM NEWEST
ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)


jejunostomy location - correct answer ✔LUQ x x x x x




*frequently not marked by the WOC nurse
x x x x x x




jejunostomy disease and procedure - correct answer ✔ischemic bowel,
x x x x x x x x x


crohn's, trauma, necrotizing enterocolitis
x x x




diversion of small bowel at jejunum, with or without colectomy, with or
x x x x x x x x x x x x


without small bowel resection, loop or end stoma
x x x x x x x




jejunostomy function and management - correct answer ✔*function begins in
x x x x x x x x x


x24-48 hours x




*initially gas, then watery clear/green output (fluid and digestive enzymes)
x x x x x x x x x




*output up to 2400ml/day
x x x




*empty pouch when 1/3 to 1/2 full
x x x x x x




jejunostomy complications - correct answer ✔*monitor for electrolyte
x x x x x x x x


imbalances and dehydration x x




*size pouch correctly to prevent leakage
x x x x x




*may need to change pouch every 2-3 days
x x x x x x x

,ileostomy location - correct answer ✔RUQ
x x x x x




ileostomy disease and procedure - correct answer ✔crohn's, ulcerative colitis,
x x x x x x x x x x


familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer,
x x x x x x x


ischemic bowel x




total proctocolectomy with end ileostomy, total proctocolectomy with
x x x x x x x x


continent ileostomy, temporary ileostomy, temporary loop ileostomy for ileal
x x x x x x x x x


pouch-anal anastomosis x




ileostomy function and management - correct answer ✔*function begins in
x x x x x x x x x x


24-48 hours
x




*initially gas, then liquid output for several days, then becomes mushy
x x x x x x x x x x




*output of 500-600 ml/day (higher output the higher up in the ileum stoma
x x x x x x x x x x x x x


is)
*empty pouch when 1/3 to 1/2 full
x x x x x x




*protect peristomal skin
x x




*watch for fluid and electrolyte imbalance
x x x x x




ileostomy complications - correct answer ✔*high risk for bowel obstruction-
x x x x x x x x x


instruct pt to chew food thoroughly and drink lots of water
x x x x x x x x x x




*potential risk for vitamin B12 deficiency
x x x x x




transverse colostomy location - correct answer ✔RUQ or LUQ
x x x x x x x x

, transverse colostomy disease and procedure - correct answer ✔diverticulitis,
x x x x x x x x x


colon cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)
x x x x x x x




diversion of large bowel at the transverse colon, with or without colectomy,
x x x x x x x x x x x x


usually temporary loop stoma
x x x




transverse colostomy function and management - correct answer ✔*function
x x x x x x x x x


begins within 48 hours
x x x




*initially gas, then mushy or semi-formed
x x x x x




*may have urge to poop with mucous from rectum
x x x x x x x x




*no effect on nutritional absorption
x x x x




transverse colostomy complications - correct answer ✔*waistline location can
x x x x x x x x


xbe difficult to manage
x x x




descending colostomy location - correct answer ✔LLQ
x x x x x x




descending colostomy disease and procedure - correct answer ✔colorectal
x x x x x x x x x


cancer, trauma, bowel perforation, ischemic bowel
x x x x x




permanent end colostomy with rectum and anus removed, temporary or
x x x x x x x x x x


permanent end colostomy with Hartmann's pouch (sewing shut top of rectum
x x x x x x x x x x


with ability to reconnect to GI tract later)
x x x x x x x x




descending colostomy function and management - correct answer ✔*function
x x x x x x x x


may not begin for up to 5 days post-op
x x x x x x x x x




*initially gas, then liquid, then semi-formed to formed
x x x x x x x