OSTOMY CARE UPDATED STUDY GUIDE QUESTIONS
AND SOLUTIONS GUARANTEE A+
✔✔How is the division in a loop stoma? - ✔✔one stoma with distal and proximal
openings, the other is separates the two openings by the posterior wall
✔✔Ascending colostomy characteristics - ✔✔1. rare, end stoma
2. distal portion of intestine is removed or oversown (Hartmann's pouch) but left in the
abdo (called a takedown)
✔✔Descending colostomy characteristics - ✔✔semi formed, formed stool with some
regulation
✔✔Ileostomy characteristics - ✔✔common in inflammatory bowel disease, liquid/pasty
stool - no regulation
✔✔Sigmoid colostomy single barrel characteristics - ✔✔formed and regular
✔✔Transverse colostomy double barrel - ✔✔mucus, fistula, semi liquid-semi formed,
gassy
✔✔Bowel prep - ✔✔oral osmotic lavage (golytely)
pre op IV antibiotics
✔✔Post op care - ✔✔1. vital sgins
2. assess stoma
3. abdo assessment
4. assess for infection
5. no rectal bleeding
6. self-care of stony
✔✔What to assess with a stoma? - ✔✔color, edema, bleeding (every 8-12 hrs for first
72hrs)
✔✔What color should the stoma be? - ✔✔pink to red, moist
✔✔What to report with a stoma? - ✔✔1. color of pale pink, blanching, dark/red purple
2. dusky purple (ischemia)
3. brown-black necrosis
4. mild-mod edema
5. small amounts of bleeding is normal, mod-large is not expected
6. GI bleed
✔✔Post op stoma care - ✔✔1. recovery 6-8 weeks
, 2. protect skinned stoma
3. education
✔✔Stoma will shrink to permanent in approx - ✔✔6-8 weeks
✔✔Minimal bleeding is expected for the first - ✔✔24 hrs - therefore assess for
hemorrhage
✔✔Expected effluent ouput - ✔✔1. small amount of oozing
2. no bleeding from stoma after 24 hrs
3. stool based on location
4. assess volume, color, and consistenty
5. intestine produces mucus
✔✔Complications of a stoma - ✔✔1. pneumonia
2. peritonitis
3. perforation
4. atelectasis
5. stoma prolapse
6. stoma retraction
7. skin irritation
8. fecal impaction
✔✔Nursing diagnoses - ✔✔1. imbalanced nutrition
2. risk for constipation/diarrhea
3. fluid volume deficit
4. anxiety
✔✔The flange/skin appliance should be cut how many mm larger than stoma - ✔✔3-4
mm
✔✔When do you empty an ostomy bag? - ✔✔1/3 to 1/2 full or full of gas
✔✔When do you change the pouch? - ✔✔inactive times (before meals and bed, 2-4
after eating)
✔✔Entire pouch should be changed every - ✔✔3-7 days
✔✔How do you clean the stoma? - ✔✔warm water and mild soap, pectin-based skin
barrier
✔✔Most common infections with a stoma - ✔✔yeast and fungal, becomes red and
spotty
AND SOLUTIONS GUARANTEE A+
✔✔How is the division in a loop stoma? - ✔✔one stoma with distal and proximal
openings, the other is separates the two openings by the posterior wall
✔✔Ascending colostomy characteristics - ✔✔1. rare, end stoma
2. distal portion of intestine is removed or oversown (Hartmann's pouch) but left in the
abdo (called a takedown)
✔✔Descending colostomy characteristics - ✔✔semi formed, formed stool with some
regulation
✔✔Ileostomy characteristics - ✔✔common in inflammatory bowel disease, liquid/pasty
stool - no regulation
✔✔Sigmoid colostomy single barrel characteristics - ✔✔formed and regular
✔✔Transverse colostomy double barrel - ✔✔mucus, fistula, semi liquid-semi formed,
gassy
✔✔Bowel prep - ✔✔oral osmotic lavage (golytely)
pre op IV antibiotics
✔✔Post op care - ✔✔1. vital sgins
2. assess stoma
3. abdo assessment
4. assess for infection
5. no rectal bleeding
6. self-care of stony
✔✔What to assess with a stoma? - ✔✔color, edema, bleeding (every 8-12 hrs for first
72hrs)
✔✔What color should the stoma be? - ✔✔pink to red, moist
✔✔What to report with a stoma? - ✔✔1. color of pale pink, blanching, dark/red purple
2. dusky purple (ischemia)
3. brown-black necrosis
4. mild-mod edema
5. small amounts of bleeding is normal, mod-large is not expected
6. GI bleed
✔✔Post op stoma care - ✔✔1. recovery 6-8 weeks
, 2. protect skinned stoma
3. education
✔✔Stoma will shrink to permanent in approx - ✔✔6-8 weeks
✔✔Minimal bleeding is expected for the first - ✔✔24 hrs - therefore assess for
hemorrhage
✔✔Expected effluent ouput - ✔✔1. small amount of oozing
2. no bleeding from stoma after 24 hrs
3. stool based on location
4. assess volume, color, and consistenty
5. intestine produces mucus
✔✔Complications of a stoma - ✔✔1. pneumonia
2. peritonitis
3. perforation
4. atelectasis
5. stoma prolapse
6. stoma retraction
7. skin irritation
8. fecal impaction
✔✔Nursing diagnoses - ✔✔1. imbalanced nutrition
2. risk for constipation/diarrhea
3. fluid volume deficit
4. anxiety
✔✔The flange/skin appliance should be cut how many mm larger than stoma - ✔✔3-4
mm
✔✔When do you empty an ostomy bag? - ✔✔1/3 to 1/2 full or full of gas
✔✔When do you change the pouch? - ✔✔inactive times (before meals and bed, 2-4
after eating)
✔✔Entire pouch should be changed every - ✔✔3-7 days
✔✔How do you clean the stoma? - ✔✔warm water and mild soap, pectin-based skin
barrier
✔✔Most common infections with a stoma - ✔✔yeast and fungal, becomes red and
spotty
