WEB WOC OSTOMY CARE UPDATED EXAM
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
Answer: LLQ
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
Answer: LLQ
