1
WEB WOC OSTOMY CARE FINAL EXAM
QUESTIONS AND ANSWERS (VERIFIED
ANSWERS GRADED A+) LATEST UPDATE
2025/2026
jejunostomy location - (ANSWER)LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - (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 - (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 - (ANSWER)*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
, 2
ileostomy location - (ANSWER)RUQ
ileostomy disease and procedure - (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 - (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 - (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 - (ANSWER)RUQ or LUQ
, 3
transverse colostomy disease and procedure - (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 - (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 - (ANSWER)*waistline location can be
difficult to manage
descending colostomy location - (ANSWER)LLQ
descending colostomy disease and procedure - (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)
WEB WOC OSTOMY CARE FINAL EXAM
QUESTIONS AND ANSWERS (VERIFIED
ANSWERS GRADED A+) LATEST UPDATE
2025/2026
jejunostomy location - (ANSWER)LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - (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 - (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 - (ANSWER)*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
, 2
ileostomy location - (ANSWER)RUQ
ileostomy disease and procedure - (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 - (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 - (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 - (ANSWER)RUQ or LUQ
, 3
transverse colostomy disease and procedure - (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 - (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 - (ANSWER)*waistline location can be
difficult to manage
descending colostomy location - (ANSWER)LLQ
descending colostomy disease and procedure - (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)
