SYMPTOMS: May affect all layers of the bowel wall; Affects any portion of the GI
Tract; Fistulas may occur in this disease. DISEASE:
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Crohn's Disease
Which patient with an ostomy would be considered at higher risk for developing
ostomy complications?
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A patient who has a diverting loop procedure performed
,Mr. Sampson is an 83-year-old male with a history of asymptomatic diverticular
disease. He comes into the hospital toxic with fever, bleeding, excruciating pain in
LLQ, bloating, and constipation. What surgical procedure will likely result to relieve his
symptoms?
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Colectomy with diverting ostomy and Hartmann's pouch
What is the etiology of the majority of enterocutaneous fistulas (ECFs)?
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Surgical procedures
Your patient has painful nonhealing peristomal wounds you suspect may be due to
pyoderma gangrenosum and you are providing her with a referral to dermatology.
What interim stoma/skin care is recommended for this patient?
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Absorbent wound products and a flat pouching system
The WOC nurse can help patients with their fears and concerns as they face surgery
for an ostomy by
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, Providing the opportunity for a visit with a trained ostomy visitor
The patient with ulcerative colitis who is being prepared for a surgical procedure to
create a permanent end ileostomy should receive preoperative education that
includes the following:
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Help the patient to understand that they can live a full life without a colon
and a rectum.
A patient you do not know well has called you complaining of pruritis around his
urostomy. He has a clinic appointment the following week and wants some ideas
about managing the itch today. What additional information is essential to ask before
making recommendations?
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Stoma size, barrier opening size, presence or absence of leakage
A patient is scheduled for surgery for an abdominal perineal resection (APR). What
type of stoma will be created during this procedure?
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Permanent end colostomy
Tract; Fistulas may occur in this disease. DISEASE:
Give this one a try later!
Crohn's Disease
Which patient with an ostomy would be considered at higher risk for developing
ostomy complications?
Give this one a try later!
A patient who has a diverting loop procedure performed
,Mr. Sampson is an 83-year-old male with a history of asymptomatic diverticular
disease. He comes into the hospital toxic with fever, bleeding, excruciating pain in
LLQ, bloating, and constipation. What surgical procedure will likely result to relieve his
symptoms?
Give this one a try later!
Colectomy with diverting ostomy and Hartmann's pouch
What is the etiology of the majority of enterocutaneous fistulas (ECFs)?
Give this one a try later!
Surgical procedures
Your patient has painful nonhealing peristomal wounds you suspect may be due to
pyoderma gangrenosum and you are providing her with a referral to dermatology.
What interim stoma/skin care is recommended for this patient?
Give this one a try later!
Absorbent wound products and a flat pouching system
The WOC nurse can help patients with their fears and concerns as they face surgery
for an ostomy by
Give this one a try later!
, Providing the opportunity for a visit with a trained ostomy visitor
The patient with ulcerative colitis who is being prepared for a surgical procedure to
create a permanent end ileostomy should receive preoperative education that
includes the following:
Give this one a try later!
Help the patient to understand that they can live a full life without a colon
and a rectum.
A patient you do not know well has called you complaining of pruritis around his
urostomy. He has a clinic appointment the following week and wants some ideas
about managing the itch today. What additional information is essential to ask before
making recommendations?
Give this one a try later!
Stoma size, barrier opening size, presence or absence of leakage
A patient is scheduled for surgery for an abdominal perineal resection (APR). What
type of stoma will be created during this procedure?
Give this one a try later!
Permanent end colostomy
