WEB WOC OSTOMY CARE QUIZ QUESTIONS
AND CORRECT ANSWERS
◉ 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
◉ 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
◉ 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.
AND CORRECT ANSWERS
◉ 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
◉ 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
◉ 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.
