WEB WOC Ostomy Care UPDATED
ACTUAL Exam Questions and CORRECT
Answers
jejunostomy location - CORRECT ANSWER - LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - CORRECT ANSWER - ischemic bowel, crohn's,
trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without small bowel
resection, loop or end stoma
jejunostomy function and management - CORRECT ANSWER - *function begins in 24-
48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - CORRECT ANSWER - *monitor for electrolyte imbalances
and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - CORRECT ANSWER - RUQ
ileostomy disease and procedure - CORRECT ANSWER - crohn's, ulcerative colitis,
familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
,total proctocolectomy with end ileostomy, total proctocolectomy with continent ileostomy,
temporary ileostomy, temporary loop ileostomy for ileal pouch-anal anastomosis
ileostomy function and management - CORRECT ANSWER - *function begins in 24-48
hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - CORRECT ANSWER - *high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - CORRECT ANSWER - RUQ or LUQ
transverse colostomy disease and procedure - CORRECT ANSWER - diverticulitis, colon
cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy, usually temporary
loop stoma
transverse colostomy function and management - CORRECT ANSWER - *function
begins within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
, transverse colostomy complications - CORRECT ANSWER - *waistline location can be
difficult to manage
descending colostomy location - CORRECT ANSWER - LLQ
descending colostomy disease and procedure - CORRECT ANSWER - colorectal cancer,
trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent end
colostomy with Hartmann's pouch (sewing shut top of rectum with ability to reconnect to GI
tract later)
descending colostomy function and management - CORRECT ANSWER - *function may
not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications - CORRECT ANSWER - *monitor, prevent, and
manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - CORRECT ANSWER - total proctocolectomy
performed and abdominal ileal pouch is made. The continence mechanism is a nipple valve
constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - CORRECT ANSWER - usually done in 1, 2, or 3
stages
the colon and most of the rectum are removed, but the anus remains intact, a pouch is
constructed from the ileum and anastomosed to the distal rectum, a temporary loop ileostomy is
ACTUAL Exam Questions and CORRECT
Answers
jejunostomy location - CORRECT ANSWER - LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - CORRECT ANSWER - ischemic bowel, crohn's,
trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy, with or without small bowel
resection, loop or end stoma
jejunostomy function and management - CORRECT ANSWER - *function begins in 24-
48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - CORRECT ANSWER - *monitor for electrolyte imbalances
and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - CORRECT ANSWER - RUQ
ileostomy disease and procedure - CORRECT ANSWER - crohn's, ulcerative colitis,
familial adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
,total proctocolectomy with end ileostomy, total proctocolectomy with continent ileostomy,
temporary ileostomy, temporary loop ileostomy for ileal pouch-anal anastomosis
ileostomy function and management - CORRECT ANSWER - *function begins in 24-48
hours
*initially gas, then liquid output for several days, then becomes mushy
*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
*watch for fluid and electrolyte imbalance
ileostomy complications - CORRECT ANSWER - *high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - CORRECT ANSWER - RUQ or LUQ
transverse colostomy disease and procedure - CORRECT ANSWER - diverticulitis, colon
cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or without colectomy, usually temporary
loop stoma
transverse colostomy function and management - CORRECT ANSWER - *function
begins within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
, transverse colostomy complications - CORRECT ANSWER - *waistline location can be
difficult to manage
descending colostomy location - CORRECT ANSWER - LLQ
descending colostomy disease and procedure - CORRECT ANSWER - colorectal cancer,
trauma, bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent end
colostomy with Hartmann's pouch (sewing shut top of rectum with ability to reconnect to GI
tract later)
descending colostomy function and management - CORRECT ANSWER - *function may
not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications - CORRECT ANSWER - *monitor, prevent, and
manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - CORRECT ANSWER - total proctocolectomy
performed and abdominal ileal pouch is made. The continence mechanism is a nipple valve
constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - CORRECT ANSWER - usually done in 1, 2, or 3
stages
the colon and most of the rectum are removed, but the anus remains intact, a pouch is
constructed from the ileum and anastomosed to the distal rectum, a temporary loop ileostomy is
