WEB WOC OSTOMY CARE Final Exam
WEB WOC OSTOMY CARE Final Exam
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Your outpatient presents with pseudoverrucous lesions. His stoma size is 1" and he is wearing
a 1 ¼" presized pouch. He is complaining of burning and itching. What is your next step?
Select one:
a. Refit the pouch size opening to cover the lesions.
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WEB WOC OSTOMY CARE Final Exam
b. Apply alcohol to dry out the lesions on the peristomal skin.
c. Check the pH of the effluent.
d. Apply powder and paste to cover the lesions. –
Correct Answer :a. Refit the pouch size opening to cover the lesions.
You have a patient with a sigmoid colostomy who developed stomal stenosis 8 weeks
postoperatively. What is the key factor that increased your patient's risk for developing this
complication?
Select one:
a. A stomal necrosis.
b. A stomal prolapse.
c. A significant recent weight loss.
d. Performing sit-ups. –
Correct Answer :a. A stomal necrosis.
You have a 4-year-old child that needs his low-profile gastrostomy tube replaced. What step
would be MOST important when performing this procedure?
Select one:
a. Have parents give pain medication prior to procedure.
b. Cleanse the skin with soap & water.
c. Measure the length of the stoma tract with a measuring device.
d. Use sterile gloves. –
Correct Answer :c. Measure the length of the stoma tract with a measuring device.
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WEB WOC OSTOMY CARE Final Exam
Mrs. Owens arrives in your Ostomy Clinic complaining that the pouch leaks within a few hours
even though she puts it on exactly how she was instructed. The stoma protrudes 2 cm and
her abdomen is soft; she is slightly overweight. Which of the following steps is essential to
assure proper fitting of her ostomy pouch?
Select one:
a. Use a skin cement to increase the adherence of the pouch.
b. Assess her abdominal topography and stoma with her in the sitting position and standing
position.
c. Trim the skin barrier to be 1/4 inch larger than the stoma.
d. Instruct her to begin using a belt. –
Correct Answer :b. Assess her abdominal topography and stoma with her in the sitting
position and standing position.
Vinegar soaks to the stoma is an appropriate intervention to reduce or remove:
Select one:
a. Peyer's patches on the mucosa.
b. Urine odor.
c. Encrustations.
d. Caput Medusa. –
Correct Answer :c. Encrustations.
Of the following individuals, who is MOST at risk for developing a stomal prolapse?
Select one:
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WEB WOC OSTOMY CARE Final Exam
a. Infant with a loop transverse colostomy.
b. 20-year-old male with a temporary loop ileostomy.
c. 65-year-old male with an end sigmoid colostomy and significant ascites.
d. 55-year-old female with a transverse double barrel colostomy. –
Correct Answer :a. Infant with a loop transverse colostomy.
Ms. Anderson has a diagnosis of Caput Medusae in the WOC Nursing chart. You would expect
to see protuberant veins in the peristomal field which are caused by:
Select one:
a. Chronic exposure to effluent.
b. Portal hypertension.
c. Stomal prolapse.
d. Parastomal hernia. –
Correct Answer :b. Portal hypertension.
An incarcerated bowel is an emergent complication associated with:
Select one:
a. Mucocutaneous separation.
b. Stomal stenosis.
c. Parastomal hernia.
d. Peristomal pyoderma granulosum. –
Correct Answer :c. Parastomal hernia.