WEB WOC OSTOMY CARE | MOST
RECENT VERSION| 2025/ 2026
QUESTIONS WITH VERIFIED
ANSWERS
1. Urine delivered to the intestinal conduit is rich in ammonia.
Ammonia absorption causes increased absorption of
chloride ions (hyperchloremia) and loss of potassium
(hypokalemia) and loss of bicarbonate (base) leading to
metabolic acidosis.
2. Prune Belly - correct answer -absence of abdominal muscles
and possibly dilation of the upper urinary tract. Pt may need
vesicostomy or ureterostomies to avoid damage to the
kidneys.
3. partial bowel obstruction s/s - correct answer -watery output,
abdominal distention, cramping, pain, stoma edema
,4. partial bowel obstruction management - correct answer -
warm bath/shower to relax abdominal muscles, heating pad,
lie on right side, massage peristomal area, knee to chest
position, fluid intake and no solid intake, make barrier larger
around stoma to accommodate stomal edema
5. complete bowel obstruction s/s - correct answer -no output
6. complete bowel obstruction management - correct answer -
become NPO, go to ER, once blockage is relieved, increase
volume of oral intake from clear liquids up to solid slowly
7. pouchitis s/s - correct answer -abdominal cramps, pain,
fever, malaise, hematuria, increased frequency of output,
output leaking, clear, liquidly output (diarrhea), bloating, gas,
pressure in pouch, noisy gut (gurgling), difficulty controlling
output, strong urge to have output
8. pouchitis management - correct answer -treat with
antibiotics, irrigate often, fluid/electrolyte balance
management, keep clean, don't let things get stagnant,
intake probiotics.
, 9. Reference:
10. Why might a patient with a urinary diversion be at risk
for receiving antibiotics inappropriately? - correct answer -
Patients with incontinent bowel diversion have chronic
bacteriuria and will have positive urine cultures = multiple
rounds of antibiotic treatment and multi drug resistant
organisms. Antibiotic treatment should only be started with
patients who have other clinical signs of active infection.
11. ideal stoma characteristics - correct answer -
*height/protrusion
12. *round
13. *red
14. *moist
15. *painless
16. *may bleed easily
17. *lumen at the center of stoma
18. stomal complication etiology - correct answer -vascular
issues, infection, iatrogenic, long term changes
RECENT VERSION| 2025/ 2026
QUESTIONS WITH VERIFIED
ANSWERS
1. Urine delivered to the intestinal conduit is rich in ammonia.
Ammonia absorption causes increased absorption of
chloride ions (hyperchloremia) and loss of potassium
(hypokalemia) and loss of bicarbonate (base) leading to
metabolic acidosis.
2. Prune Belly - correct answer -absence of abdominal muscles
and possibly dilation of the upper urinary tract. Pt may need
vesicostomy or ureterostomies to avoid damage to the
kidneys.
3. partial bowel obstruction s/s - correct answer -watery output,
abdominal distention, cramping, pain, stoma edema
,4. partial bowel obstruction management - correct answer -
warm bath/shower to relax abdominal muscles, heating pad,
lie on right side, massage peristomal area, knee to chest
position, fluid intake and no solid intake, make barrier larger
around stoma to accommodate stomal edema
5. complete bowel obstruction s/s - correct answer -no output
6. complete bowel obstruction management - correct answer -
become NPO, go to ER, once blockage is relieved, increase
volume of oral intake from clear liquids up to solid slowly
7. pouchitis s/s - correct answer -abdominal cramps, pain,
fever, malaise, hematuria, increased frequency of output,
output leaking, clear, liquidly output (diarrhea), bloating, gas,
pressure in pouch, noisy gut (gurgling), difficulty controlling
output, strong urge to have output
8. pouchitis management - correct answer -treat with
antibiotics, irrigate often, fluid/electrolyte balance
management, keep clean, don't let things get stagnant,
intake probiotics.
, 9. Reference:
10. Why might a patient with a urinary diversion be at risk
for receiving antibiotics inappropriately? - correct answer -
Patients with incontinent bowel diversion have chronic
bacteriuria and will have positive urine cultures = multiple
rounds of antibiotic treatment and multi drug resistant
organisms. Antibiotic treatment should only be started with
patients who have other clinical signs of active infection.
11. ideal stoma characteristics - correct answer -
*height/protrusion
12. *round
13. *red
14. *moist
15. *painless
16. *may bleed easily
17. *lumen at the center of stoma
18. stomal complication etiology - correct answer -vascular
issues, infection, iatrogenic, long term changes
