Ostomy Care Updated Script 2026 – Practice Nursing
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Describe, in order, how food travels from the stomach to
the rectum:
A. It exits the stomach into: the cecum to the jejunum to
the ileum, then into the duodenum, descending colon,
transverse colon, ascending colon, sigmoid colon, and
rectum.
B. It exits the stomach into: the duodenum to the ileum to
the jejunum, then into the cecum, ascending colon,
sigmoid colon, descending colon, transverse colon, and
rectum.
C. It exits the stomach into: the ileum to the jejunum to the
duodenum, then into the cecum, sigmoid colon, transverse
colon, descending colon, ascending colon, and rectum.
D. It exits the stomach into: the duodenum to the jejunum
to the ileum, then into the cecum, ascending colon,
transverse colon, descending colon, sigmoid colon, and
rectum. - Answer-D. It exits the stomach into: the
duodenum to the jejunum to the ileum, then into the
cecum, ascending colon, transverse colon, descending
colon, sigmoid colon, and rectum.
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A patient has a double-barrel colostomy of the transverse
colon. You note on assessment two stomas, a proximal
and distal stoma. What type of stool do you expect to drain
from the proximal and distal stomas?
A. Proximal: lose to partly formed stool; Distal: mucous
B. Proximal: liquid stool; Distal: mucous
C. Proximal: mucous; Distal: lose to partly formed stool
D. Proximal & Distal: lose to partly formed stool - Answer-
A. Proximal: lose to partly formed stool; Distal: mucous
The answer is A. The proximal will drain stool while the
distal will NOT. The distal will drain mucous. Since it is a
double-barrel colostomy of the transverse colon, you can
expect the stool to be lose to partly formed.
A nurse is replacing the ostomy appliance for a patient
whose newly created colostomy is functioning. After
removing the pouch, which of the following actions should
the nurse take first?
A. Measure the stoma.
B. Cover the stoma with gauze.
C. Remove the backing on the skin barrier
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D. Cleanse the stoma and the peristomal skin. - Answer-A.
Cleanse the stoma and the peristomal skin.
Rationale: First action nurse should take is to remove any
effluent adhering to the stoma & peristomal skin to
facilitate assessment of area
A nurse is teaching a patient about extended-wear skin
barriers. Which of the following strategies should the nurse
instruct the patient to use for maximal adherence?
A. Use an oil-based lotion on the peristomal area.
B. Apply the skin barrier while the skin is slightly moist.
C. Leave the residue from the previous appliance on the
skin.
D. Press gently around the barrier for 30 seconds to 1 min.
- Answer-D. Press gently around the barrier for 30
seconds to 1 min.
Rationale: The nurse should instruct the client to press
gently around to barrier for 30 seconds to 1 min because
the pressure-sensitive tackifiers and heat-sensitive