WEB WOC OSTOMY CARE Final Exam
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Questions And Correct Answers With
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A 60-year-old male is 6 weeks postop following a sigmoid colostomy for rectal cancer. During a
follow-up visit, he states that he has read about colostomy irrigation and is eager to start. What
should your NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is planned.
b. Set up an appointment to begin teaching the irrigation technique as soon as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the procedure. - Correct Answera. Ask
the patient if chemotherapy or radiation therapy is planned.
Mr. Rooke worked in a rubber plant for over 30 years. He was found to have bladder cancer
involving the muscle layer and peri-vesical fat of his bladder. What type of treatment will he
MOST likely have for this invasive carcinoma?
Select one:
a. Radical cystectomy and urinary diversion
b. Intravesical treatment
c. Radiation therapy
d. Watchful waiting - Correct Answera. Radical cystectomy and urinary diversion
Several of these surgical urinary diversions are permanent. Which urinary diversion is usually
TEMPORARY?
Page 1 of 38
,Select one:
a. Nephrostomy.
b. Orthotopic neobladder.
c. Ileal conduit.
d. Indiana pouch. - Correct Answera. Nephrostomy.
Which type of pouching system would be appropriate to recommend for a blind person with an
ileostomy?
Select one:
a. 1-piece.
b. 2-piece.
c. Closed end pouch.
d. Non-adhesive pouch. - Correct Answerb. 2-piece.
The absence of urine flow from a newly created urostomy is considered:
Select one:
a. Normal.
b. A temporary issue that will resolve with additional intravenous fluids.
c. Related to the stents.
d. Abnormal... a medical emergency. - Correct Answerd. Abnormal... a medical emergency.
The skin around the stoma should be:
Page 2 of 38
,Select one:
a. Denuded because of the shaving and surgical scrub.
b. Pale as compared with the rest of the abdomen.
c. Erythematous because of the pouch adhesive.
d. Intact and healthy. - Correct Answerd. Intact and healthy.
For the patient with a urinary or fecal diversion, a well-constructed stoma and a good location,
the normal wear time for an adult would be:
Select one:
a. 1-2 days.
b. 3-4 days.
c. No schedule, change when suspected leakage.
d. Depends on the patient's schedule. - Correct Answerb. 3-4 days.
What is the purpose of the support bridge that may be placed under the loop stoma?
Select one:
a. It assists the surgeon to know where both ends of the bowel are located in anticipation for
stoma takedown.
b. It takes pouching the stoma easier.
c. It provides an easy access to the stoma for irrigation.
d. It supports the bowel until the stoma heals to the abdominal skin. - Correct Answerd. It
supports the bowel until the stoma heals to the abdominal skin.
Three (3) primary concerns of the ostomy patient include:
Page 3 of 38
, Select one:
a. Independence, self-care and returning to previous lifestyle.
b. Work, returning to social activities and finding someone to assist with ostomy care.
c. Family issues, work and independence in care.
d. Sexuality, management of noise and odor and locating ostomy suppliers when traveling. -
Correct Answera. Independence, self-care and returning to previous lifestyle.
Mr. Moore had an APR (abdominoperineal resection) for colorectal cancer 3 days ago. He is on a
low-residue diet and taking pain medication for postoperative surgical pain. The WOC nurse
notes that his stool is formed. What would be MOST appropriate to recommend for this
patient?
Select one:
a. Dried fruit i.e. Prunes
b. Stool softeners i.e. Colace
c. Bulking agents i.e. Metamucil
d. Stimulants i.e. Senna - Correct Answerb. Stool softeners i.e. Colace
When the ostomy patient is taking corticosteroids and immunosuppressive agents, they are at
risk for developing which of the following peristomal skin complications?
Select one:
a. Pyoderma gangrenosum.
b. Pseudoverrucous lesions.
c. Peristomal candidiasis.
d. Caput medusae. - Correct Answerc. Peristomal candidiasis.
Spontaneous closure of an enterocutaneous fistula is unlikely to occur when:
Page 4 of 38
Newest Exam Preparation With Complete
Questions And Correct Answers With
Rationales | Already Graded A+||Brand New
Version!!
A 60-year-old male is 6 weeks postop following a sigmoid colostomy for rectal cancer. During a
follow-up visit, he states that he has read about colostomy irrigation and is eager to start. What
should your NEXT step be?
Select one:
a. Ask the patient if chemotherapy or radiation therapy is planned.
b. Set up an appointment to begin teaching the irrigation technique as soon as possible.
c. Instruct the patient to ask again at his 6 months postop visit.
d. Ask him if he prefers using a cone tip or a catheter for the procedure. - Correct Answera. Ask
the patient if chemotherapy or radiation therapy is planned.
Mr. Rooke worked in a rubber plant for over 30 years. He was found to have bladder cancer
involving the muscle layer and peri-vesical fat of his bladder. What type of treatment will he
MOST likely have for this invasive carcinoma?
Select one:
a. Radical cystectomy and urinary diversion
b. Intravesical treatment
c. Radiation therapy
d. Watchful waiting - Correct Answera. Radical cystectomy and urinary diversion
Several of these surgical urinary diversions are permanent. Which urinary diversion is usually
TEMPORARY?
Page 1 of 38
,Select one:
a. Nephrostomy.
b. Orthotopic neobladder.
c. Ileal conduit.
d. Indiana pouch. - Correct Answera. Nephrostomy.
Which type of pouching system would be appropriate to recommend for a blind person with an
ileostomy?
Select one:
a. 1-piece.
b. 2-piece.
c. Closed end pouch.
d. Non-adhesive pouch. - Correct Answerb. 2-piece.
The absence of urine flow from a newly created urostomy is considered:
Select one:
a. Normal.
b. A temporary issue that will resolve with additional intravenous fluids.
c. Related to the stents.
d. Abnormal... a medical emergency. - Correct Answerd. Abnormal... a medical emergency.
The skin around the stoma should be:
Page 2 of 38
,Select one:
a. Denuded because of the shaving and surgical scrub.
b. Pale as compared with the rest of the abdomen.
c. Erythematous because of the pouch adhesive.
d. Intact and healthy. - Correct Answerd. Intact and healthy.
For the patient with a urinary or fecal diversion, a well-constructed stoma and a good location,
the normal wear time for an adult would be:
Select one:
a. 1-2 days.
b. 3-4 days.
c. No schedule, change when suspected leakage.
d. Depends on the patient's schedule. - Correct Answerb. 3-4 days.
What is the purpose of the support bridge that may be placed under the loop stoma?
Select one:
a. It assists the surgeon to know where both ends of the bowel are located in anticipation for
stoma takedown.
b. It takes pouching the stoma easier.
c. It provides an easy access to the stoma for irrigation.
d. It supports the bowel until the stoma heals to the abdominal skin. - Correct Answerd. It
supports the bowel until the stoma heals to the abdominal skin.
Three (3) primary concerns of the ostomy patient include:
Page 3 of 38
, Select one:
a. Independence, self-care and returning to previous lifestyle.
b. Work, returning to social activities and finding someone to assist with ostomy care.
c. Family issues, work and independence in care.
d. Sexuality, management of noise and odor and locating ostomy suppliers when traveling. -
Correct Answera. Independence, self-care and returning to previous lifestyle.
Mr. Moore had an APR (abdominoperineal resection) for colorectal cancer 3 days ago. He is on a
low-residue diet and taking pain medication for postoperative surgical pain. The WOC nurse
notes that his stool is formed. What would be MOST appropriate to recommend for this
patient?
Select one:
a. Dried fruit i.e. Prunes
b. Stool softeners i.e. Colace
c. Bulking agents i.e. Metamucil
d. Stimulants i.e. Senna - Correct Answerb. Stool softeners i.e. Colace
When the ostomy patient is taking corticosteroids and immunosuppressive agents, they are at
risk for developing which of the following peristomal skin complications?
Select one:
a. Pyoderma gangrenosum.
b. Pseudoverrucous lesions.
c. Peristomal candidiasis.
d. Caput medusae. - Correct Answerc. Peristomal candidiasis.
Spontaneous closure of an enterocutaneous fistula is unlikely to occur when:
Page 4 of 38
