Exam (elaborations)

CH 40 Questions and Answers 2026

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CH 40 Questions and Answers 2026

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Wocn

Course

Wocn

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CH 40 Questions and Answers 2026
ABpatientBisBbeingBdischargedBfromBtheBhospitalBwithBaBnewBileostomy.BTheBpatientBexpresse
sBconcernBaboutBcaringBforBtheBostomy.BBeforeBhospitalBdischarge,BwhichBmembersBofBtheBin
terprofessionalBhealthBcareBteamBwouldBbeBmostBappropriateBforBaBreferral?

a.BHomeBcareBnurse

b.BWoundBostomyBcontinenceBnurse

c.BRegisteredBdietitian

d.BPrimaryBcareBproviderB-BAnswerAnswer:Bb.BWoundBostomyBcontinenceBnurse

TheBwoundBostomyBcontinenceBnurseB(WOCN)BisBtheBmostBimportantBpersonBtoBcontactBtoBs
cheduleBteachingBsessionsBandBfollow-
upBcare.BThisBnurseBspecialistBisBcertifiedBinBtheBtreatmentBofBpatientsBwhoBhaveBaBbowelBo
rBbladderBdiversion.BAlthoughBteamBinputBisBimportant,BtheBcontributionBofBtheBWOCNBisBes
sentialBtoBhelpBtheBpatientBachieveBcompetenceBandBcomfortBwithBself-careBbeforeBdischarge.

TheBnurseBisBassignedBtheBcareBofBaBpatientBforBwhomBaBcleansingBenemaBhasBbeenBordere
d.BWhichBdataBisBmostBimportantBforBtheBnurseBtoBinvestigateBfirst?B

a.BTheBproperBwayBtoBpositionBtheBpatient

b.BSignsBandBsymptomsBofBintoleranceBtoBtheBprocedure

c.BVitalBsignsBbeforeBtheBprocedure

d.BHistoryBofBsurgeryBofBtheBanusBorBrectumB-
BAnswerAnswer:Bd.BHistoryBofBsurgeryBofBtheBanusBorBrectum

TheBmostBimportantBitemBbeforeBadministrationBisBassessmentBdataBaboutBhistoryBofBsurgery
BtoBtheBanusBorBrectum,BwhichBmayBcontraindicateBenemaBadministration.BTheBnurseBneedsB
toBknowBtheBproperBpatientBpositionBforBanBenemaBandBmustBobserveBforBsignsBofBintoleran
ceBtoBtheBprocedure,BbutBtheseBareBdoneBduringBtheBprocedure.BVitalBsignsBareBnotBroutinel
yBobtainedBbeforeBanBenema.

WhileBperformingBanBabdominalBassessmentBonBanBunconsciousBpatient,BtheBnurseBnotesBpre
senceBofBanBostomy.BTheBfecalBoutputBisBliquidBinBconsistency,BwithBaBpungentBodor,BfromBt
heBstomaBthatBisBlocatedBinBtheBupperBrightBquadrantBofBtheBabdomen.BWhatBhypothesisBab
outBtheBtypeBofBostomyBshouldBtheBnurseBconclude?B

a.BDescendingBcolostomy

b.BUreterostomy

c.BIleostomy

, d.BAscendingBcolostomyB-BAnswerAnswer:Bd.BAscendingBcolostomy

AnBascendingBcolostomyBmeetsBtheBdescriptionBofBfecalBoutputBofBliquidBconsistencyBandBwit
hBaBpungentBodor,BasBwellBasBlocationBofBtheBstomaBinBtheBupperBrightBquadrantBofBtheBab
domen.BDescendingBcolostomiesBproduceBincreasinglyBformedBstool.BAnBileostomyBwillBproduc
eBliquidBstoolBbutBwithBlessBodorBbecauseBenzymeBactivityBisBnotBpresent.BUreterostomiesBdr
ainBurine,BnotBstool.

TheBpatientBwasBadmittedBwithBdiarrhea.BWhichBpriorityBactionBwillBtheBnurseBteachBtheBpati
ent?

a.BDrinkingBatBleastBeightBglassesBofBfluidBeachBday

b.BEatingBfoodsBlowBinBsodiumBandBpotassium

c.BLimitingBtheBamountBofBsolubleBfiberBinBtheBdiet

d.BEliminatingBwhole-wheatBandBwhole-grainBbreadsBandBcerealB-
BAnswerAnswer:Ba.BDrinkingBatBleastBeightBglassesBofBfluidBeachBday

DiarrheaBisBassociatedBwithBhighBriskBforBdehydration;Bthus,BtheBpatientBshouldBincreaseBthe
BfluidBintake.BTheBpatientBmayBneedBincreasedBsodiumBandBpotassiumBintakeBowingBtoBlossB
ofBtheseBelectrolytesBinBtheBfrequentBstools.BFiberBwillBaddBbulkBandBhelpBformBtheBstools;B
thus,BfiberBshouldBbeBincreased.BWhole-grainBproductsBcontainBfiber.

TheBnurseBknowsBthatBtheBteachingBforBaBpatientBwhoBwasBrecentlyBdiagnosedBwithBconstipa
tionBhasBbeenBeffectiveBifBtheBpatient'sBmealBrequestBspecifiesBwhichBfoodBchoice?

a.BHotBdogBonBaBbun

b.BGrilledBchicken

c.BTunaBsandwichBonBwhiteBbread

d.BSpinachBsaladBwithBdressingB-BAnswerAnswer:Bd.BSpinachBsaladBwithBdressing

GreenBleafyBvegetablesBareBhighBinBfiber.BNoneBofBtheBotherBoptionsBareBhighBinBfiberBbutB
couldBbeBmodifiedBbyBusingBorBaddingBwhole-grainBproducts.

ABpatientBcomplainsBofB4BdaysBofBfrequentBlooseBstoolsBwithBabdominalBcramping.BWhatBisB
theBpriorityBnursingBdiagnosisBforBthisBpatient?

a.BImpairedBSkinBIntegrity

b.BFluidBImbalance

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CH 40 Questions and Answers 2026

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