Ostomy certification exam set 1 with correct answers

Ostomy certification exam set 1 with
correct answers

Which of the following is the most significant contributing factor to skin
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hyperplasia in a patient with fecal diversion? - correct answer ✔Chronic
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exposure to an irritant. x x x




Removal of part of the terminal ileum results in decreased absorption of
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what? - correct answer ✔Vitamin B and bile salts.
x x x x x x x x




A person with an ileostomy is likely to have difficulty absorbing what type of
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medication? - correct answer ✔Time-released cold tablets.
x x x x x x




A patient has a high output ECF. Although the patient has no PO intake, the
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output remains high. Which of the following medications should be given to
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lower the output? - correct answer ✔Somatostatin. A natural hormone and
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classified as an octreotide acetate. It inhibits growth hormone, insulin, and
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glucagon production. x




A female patient is 6 weeks post-op abdominal perineal resection. She and
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her husband present to the outpatient ostomy clinic. During her post-op visit,
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xthey share that they have been intimate a few times since surgery and she
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experience dyspareunia. The nurse suggests alternative positions and
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lubrication. This is an example of which level of the PLISSIT model? - correct
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answer ✔Specific suggestions.
x x

, The primary reason for the place of ureteral stents during ileal conduit
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surgery is to do what? - correct answer ✔Preserve anastomosis sites.
x x x x x x x x x x




When teaching self-care to an elderly patient with an ostomy, which of the
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following factors is LEAST important to consider? - correct answer ✔Level of
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education.


A patient with a sigmoid colostomy who calls to report the water used for
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irrigation has not returned by has no other complaints should be instructed
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to do what? - correct answer ✔Increase fluid intake as the patient may be
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dehydrated.


For a patient with mucosal transplantation, the nurse should do all of the
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following EXCEPT what? - correct answer ✔Refer to a surgeon for stoma
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revision. It is not necessary to remove this tissue.
x x x x x x x x




45 year old patient was hospitalized for 2 weeks for medical mgmt. of
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chronic UC. Medical mgmt. failed, and the patient had a colectomy and
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standard Brooke ileostomy. 6 weeks later, he presents to the ostomy clinic.
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he looks tired and his eyes are sunken. he complains of extreme weakness
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and tingling in his hands and feet. His BP is 98/50, temp 98, and pulse is 110.
x x x x x x x x x x x x x x x x


xHis symptoms are most likely due to what? - correct answer ✔Fluid and
x x x x x x x x x x x x x


electrolyte imbalance. x




A 2 year old child can best be prepared for ostomy surgery by using what
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method? - correct answer ✔Play therapy for the child with the parents
x x x x x x x x x x x x


present.