WEB WOC Ostomy Care Exam Questions with All Correct Answers

WEB WOC Ostomy Care Exam Questions with All Correct Answers 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 *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 - ANSWER *monitor for electrolyte imbalances and dehydration *size pouch correctly to prevent leakage *may need to change pouch every 2-3 days ileostomy location - ANSWER RUQ ileostomy disease and procedure - 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 - 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