Ostomy certification exam set 1
Study online at https://quizlet.com/_jroxri
1. Which of the following is the most significant con- Chronic exposure to an ir-
tributing factor to skin hyperplasia in a patient with ritant.
fecal diversion?
2. Removal of part of the terminal ileum results in de- Vitamin B and bile salts.
creased absorption of what?
3. A person with an ileostomy is likely to have difficulty Time-released cold
absorbing what type of medication? tablets.
4. A patient has a high output ECF. Although the patient Somatostatin. A natural
has no PO intake, the output remains high. Which of hormone and classified as
the following medications should be given to lower the an octreotide acetate. It
output? inhibits growth hormone,
insulin, and glucagon pro-
duction.
5. A female patient is 6 weeks post-op abdominal per- Specific suggestions.
ineal resection. She and her husband present to the
outpatient ostomy clinic. During her post-op visit, they
share that they have been intimate a few times since
surgery and she experience dyspareunia. The nurse
suggests alternative positions and lubrication. This is
an example of which level of the PLISSIT model?
6. The primary reason for the place of ureteral stents Preserve anastomosis
during ileal conduit surgery is to do what? sites.
7. When teaching self-care to an elderly patient with an Level of education.
ostomy, which of the following factors is LEAST impor-
tant to consider?
8.
1/6
, Ostomy certification exam set 1
Study online at https://quizlet.com/_jroxri
A patient with a sigmoid colostomy who calls to report Increase fluid intake as the
the water used for irrigation has not returned by has patient may be dehydrat-
no other complaints should be instructed to do what? ed.
9. For a patient with mucosal transplantation, the nurse Refer to a surgeon for
should do all of the following EXCEPT what? stoma revision. It is not
necessary to remove this
tissue.
10. 45 year old patient was hospitalized for 2 weeks for Fluid and electrolyte im-
medical mgmt. of chronic UC. Medical mgmt. failed, balance.
and the patient had a colectomy and standard Brooke
ileostomy. 6 weeks later, he presents to the ostomy
clinic. he looks tired and his eyes are sunken. he com-
plains of extreme weakness and tingling in his hands
and feet. His BP is 98/50, temp 98, and pulse is 110. His
symptoms are most likely due to what?
11. A 2 year old child can best be prepared for ostomy Play therapy for the child
surgery by using what method? with the parents present.
12. How does the stoma site for a continent ileostomy It is lower.
differ from the site for a conventional ileostomy?
13. A patient with a well-established, continent urinary Change his catheters used
reservoir is receiving chemo for a newly diagnosed for intubation more fre-
malignancy. What changes to his routine care of the quently.
reservoir should be made?
14. If individuals with urinary diversions are on sulfa ther- Crystal formation.
apy, acidifying their urine may result in what?
15.
2/6
Study online at https://quizlet.com/_jroxri
1. Which of the following is the most significant con- Chronic exposure to an ir-
tributing factor to skin hyperplasia in a patient with ritant.
fecal diversion?
2. Removal of part of the terminal ileum results in de- Vitamin B and bile salts.
creased absorption of what?
3. A person with an ileostomy is likely to have difficulty Time-released cold
absorbing what type of medication? tablets.
4. A patient has a high output ECF. Although the patient Somatostatin. A natural
has no PO intake, the output remains high. Which of hormone and classified as
the following medications should be given to lower the an octreotide acetate. It
output? inhibits growth hormone,
insulin, and glucagon pro-
duction.
5. A female patient is 6 weeks post-op abdominal per- Specific suggestions.
ineal resection. She and her husband present to the
outpatient ostomy clinic. During her post-op visit, they
share that they have been intimate a few times since
surgery and she experience dyspareunia. The nurse
suggests alternative positions and lubrication. This is
an example of which level of the PLISSIT model?
6. The primary reason for the place of ureteral stents Preserve anastomosis
during ileal conduit surgery is to do what? sites.
7. When teaching self-care to an elderly patient with an Level of education.
ostomy, which of the following factors is LEAST impor-
tant to consider?
8.
1/6
, Ostomy certification exam set 1
Study online at https://quizlet.com/_jroxri
A patient with a sigmoid colostomy who calls to report Increase fluid intake as the
the water used for irrigation has not returned by has patient may be dehydrat-
no other complaints should be instructed to do what? ed.
9. For a patient with mucosal transplantation, the nurse Refer to a surgeon for
should do all of the following EXCEPT what? stoma revision. It is not
necessary to remove this
tissue.
10. 45 year old patient was hospitalized for 2 weeks for Fluid and electrolyte im-
medical mgmt. of chronic UC. Medical mgmt. failed, balance.
and the patient had a colectomy and standard Brooke
ileostomy. 6 weeks later, he presents to the ostomy
clinic. he looks tired and his eyes are sunken. he com-
plains of extreme weakness and tingling in his hands
and feet. His BP is 98/50, temp 98, and pulse is 110. His
symptoms are most likely due to what?
11. A 2 year old child can best be prepared for ostomy Play therapy for the child
surgery by using what method? with the parents present.
12. How does the stoma site for a continent ileostomy It is lower.
differ from the site for a conventional ileostomy?
13. A patient with a well-established, continent urinary Change his catheters used
reservoir is receiving chemo for a newly diagnosed for intubation more fre-
malignancy. What changes to his routine care of the quently.
reservoir should be made?
14. If individuals with urinary diversions are on sulfa ther- Crystal formation.
apy, acidifying their urine may result in what?
15.
2/6