OSTOMY CARE UPDATED FINAL PAPER QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔What part of the intestine is responsible for the continent mechanism? - ✔✔Ileocecal
valve
✔✔How is the pouch emptied in a continent urinary diversion? - ✔✔Via a catheter
✔✔Is an external pouch needed in a continent urinary diversion? - ✔✔No
✔✔What are the characteristics of an ideal ostomy pouching system? - ✔✔Leak-proof,
odor-proof, comfortable, easily manipulated, inconspicuous, safe, and inexpensive
✔✔What is the purpose of an ostomy pouch? - ✔✔To collect effluent
✔✔What are the components of a pouching system? - ✔✔Adhesive skin barrier,
collection pouch, and/or accessories
✔✔What is an alternative to a pouch for infants? - ✔✔A diaper
✔✔Pouches can be either... - ✔✔A one-piece system or a two-piece system, reusable
or disposable, opaque or clear, pre-cut or cut-to-fit, open-bottom or closed-bottom
✔✔One-piece pouch system - ✔✔Skin barrier and pouch are one piece
✔✔Two-piece pouch system - ✔✔Skin barrier is separate from pouch, adaptable to
different abdominal folds
✔✔How might skin barriers be shaped? - ✔✔Flat or convex
✔✔T or F: The stoma does not change in size over time. - ✔✔False, the stoma may
change in size over time, so the fit may also change
✔✔What might happen to the stoma if the fit of the pouch is too small? - ✔✔The stoma
may swell
✔✔How should a stoma be measured? - ✔✔By measuring the base where the mucosa
meets the skin
✔✔What should be the clearance around the stoma regarding fit? - ✔✔1/16th to 1/8th
of a inch for a rigid barrier, 0-1 mm for a flexible barrier
✔✔When should a pouch be emptied? - ✔✔When it is 1/3 to 1/2 full
, ✔✔Does the frequency for changing the pouch depend on the type of ostomy? - ✔✔Yes
✔✔How long can skin barriers be left in place? - ✔✔3-7 days
✔✔What might decrease the amount of time that a skin barrier can be worn? -
✔✔Participating in physical activities
✔✔Can water enter the stoma? - ✔✔No
✔✔Is it necessary to cover the stoma when swimming or bathing? - ✔✔No
✔✔How can a pouch be secured if a patient chooses to wear it while swimming or
bathing? - ✔✔Using waterproof tape
✔✔What is a belt? - ✔✔An pouch system accessory that provides elastic support and
often contains latex
✔✔What are alternatives to belts for women? - ✔✔Pantyhose or panty girdles
✔✔What might belts cause when worn too tightly? - ✔✔Skin ulcers
✔✔What are indications for belt use? - ✔✔Deeply convex faceplate (skin barrier), short
pouch-wearing time, high activity level (especially in children), heavy perspiration,
and/or personal preference
✔✔What is the purpose of a skin barrier? - ✔✔To protect the skin from the stoma
discharge and allow the pouching system to fit more securely
✔✔What is a useful accessory for weeping skin in an ostomy? - ✔✔Powders
✔✔What is a useful accessory for sealing the pouch? - ✔✔Pastes (are not glue!)
✔✔T or F: The skin barrier does not need to match the size of the stoma. - ✔✔False,
the skin barrier should match the size of the stoma
✔✔Absorbent gel packets and/or flakes - ✔✔Dissolve in effluent to make a gel and are
useful to decrease noise, control odor, and prevent skin irritation and leaking
✔✔What is best to cleanse skin around the stoma with? - ✔✔Plain water
✔✔Should skin be dried thoroughly after cleansing around the stoma? - ✔✔Yes, skin
should be allowed to dry thoroughly
AND SOLUTIONS GUARANTEE A+
✔✔What part of the intestine is responsible for the continent mechanism? - ✔✔Ileocecal
valve
✔✔How is the pouch emptied in a continent urinary diversion? - ✔✔Via a catheter
✔✔Is an external pouch needed in a continent urinary diversion? - ✔✔No
✔✔What are the characteristics of an ideal ostomy pouching system? - ✔✔Leak-proof,
odor-proof, comfortable, easily manipulated, inconspicuous, safe, and inexpensive
✔✔What is the purpose of an ostomy pouch? - ✔✔To collect effluent
✔✔What are the components of a pouching system? - ✔✔Adhesive skin barrier,
collection pouch, and/or accessories
✔✔What is an alternative to a pouch for infants? - ✔✔A diaper
✔✔Pouches can be either... - ✔✔A one-piece system or a two-piece system, reusable
or disposable, opaque or clear, pre-cut or cut-to-fit, open-bottom or closed-bottom
✔✔One-piece pouch system - ✔✔Skin barrier and pouch are one piece
✔✔Two-piece pouch system - ✔✔Skin barrier is separate from pouch, adaptable to
different abdominal folds
✔✔How might skin barriers be shaped? - ✔✔Flat or convex
✔✔T or F: The stoma does not change in size over time. - ✔✔False, the stoma may
change in size over time, so the fit may also change
✔✔What might happen to the stoma if the fit of the pouch is too small? - ✔✔The stoma
may swell
✔✔How should a stoma be measured? - ✔✔By measuring the base where the mucosa
meets the skin
✔✔What should be the clearance around the stoma regarding fit? - ✔✔1/16th to 1/8th
of a inch for a rigid barrier, 0-1 mm for a flexible barrier
✔✔When should a pouch be emptied? - ✔✔When it is 1/3 to 1/2 full
, ✔✔Does the frequency for changing the pouch depend on the type of ostomy? - ✔✔Yes
✔✔How long can skin barriers be left in place? - ✔✔3-7 days
✔✔What might decrease the amount of time that a skin barrier can be worn? -
✔✔Participating in physical activities
✔✔Can water enter the stoma? - ✔✔No
✔✔Is it necessary to cover the stoma when swimming or bathing? - ✔✔No
✔✔How can a pouch be secured if a patient chooses to wear it while swimming or
bathing? - ✔✔Using waterproof tape
✔✔What is a belt? - ✔✔An pouch system accessory that provides elastic support and
often contains latex
✔✔What are alternatives to belts for women? - ✔✔Pantyhose or panty girdles
✔✔What might belts cause when worn too tightly? - ✔✔Skin ulcers
✔✔What are indications for belt use? - ✔✔Deeply convex faceplate (skin barrier), short
pouch-wearing time, high activity level (especially in children), heavy perspiration,
and/or personal preference
✔✔What is the purpose of a skin barrier? - ✔✔To protect the skin from the stoma
discharge and allow the pouching system to fit more securely
✔✔What is a useful accessory for weeping skin in an ostomy? - ✔✔Powders
✔✔What is a useful accessory for sealing the pouch? - ✔✔Pastes (are not glue!)
✔✔T or F: The skin barrier does not need to match the size of the stoma. - ✔✔False,
the skin barrier should match the size of the stoma
✔✔Absorbent gel packets and/or flakes - ✔✔Dissolve in effluent to make a gel and are
useful to decrease noise, control odor, and prevent skin irritation and leaking
✔✔What is best to cleanse skin around the stoma with? - ✔✔Plain water
✔✔Should skin be dried thoroughly after cleansing around the stoma? - ✔✔Yes, skin
should be allowed to dry thoroughly
