Ostomy Final Study Guide Questions And Answers 2023

A patient with a newly created continent urinary reservoir requires self-care education prior to discharge. Which of the following would explain the purpose for maintaining a secured catheter in the reservoir? - Decompress the reservoir. The WOC nurse is instructing a patient on safe and effective use of an ostomy belt. Which response is most accurate? - The belt should fit snugly against the abdomen. When teaching ostomy care to a 12 year old child, which of the following should be stressed? - Keep extra pouching supplies. A 16 year old female had the first stage of an ileal pouch anal anastomosis (IPAA) procedure 3 weeks ago. She calls the nurse to report that there has been no ileostomy output for 12 hours. She now has abdominal pain and nausea with vomiting. She describes a pain level of 5 on a pain scale of 0-10. Her last meal on the previous evening included a pizza with sausage and mushrooms, a banana, and a soda. Which of the following should the nruse advise? - Proceed to the ER for a flat plate and ileal lavage. A patient with intractable UC is on high-dose corticosteroids. After a total proctocolectomy with ileostomy, which of the following complications should be anticipated? - Mucocutaneous separation. Proper management of peristomal skin should include. - Cleansing the skin with warm water. When teaching ostomy self-care to an elderly patient, which of the following techniques works best? - Frequent, brief teaching sessions. Which of the following is a symptom of stomal stenosis. - Narrow caliber of stool. A female patient is 6 weeks post-operative abdominal perineal resection. She expresses interest in resuming sexual activity What suggestions could the WOC nurse? - Use attractive pouch cover. On instructing a patient with an ileostomy on the best diet approaches, which of the following foods should the patient be taught to avoid? - Chinese vegetables, corn, kimchi, and nuts. A 9 year old with an ostomy is starting the new school year. Which of the following would be the expectation while she is at school? - Be independent with ostomy care. A patient with an ECF located in a closed abdominal incision has irritant dermatitis of the perifistular skin and a small amount of malodorous thick effluent. The most appropriate management for this patient should include which of the following? - Use skin barrier and apply a pouching system. A patient had a sigmoid bowel resection. Which of the following types of temporary diversions is recommended for protection of the distal anastomosis? - Loop ileostomy. A patient with an ileostomy returns to the outpatient clinic for the first post-op visit. On removal of the pouching system, the peristomal skin is inflamed and eroded. This condition is known as which of the following? - Peristomal MASD. A person with an ileostomy is likely to have difficulty absorbing which type of medication? - Enteric coated tablets. Which of the following is appropriate management of peristomal MASD? - Modify the pouching system to obtain an effective seal. A patient with an ileostomy presents with symptoms of lethargy, muscle cramps, dry mouth, and decreased urine output. What would be the best WOC nurse action? - Obtain LIP order for serum electrolyte level. Proper management of peristomal skin should include which of the following? - Cleanse peristomal skin with warm water. Removal of part of the terminal ileum results in decreased absorption of which of the following nutrients? - Vitamin B12 and bile salts. A 2 year old child can best be prepared for ostomy surgery by using which of the following methods? - Play therapy for the child while the parents are present. The WOC nurse is providing instruction to a patient with a new ileal conduit. Which of the following symptoms indicates the need for the patient to seek urgent medical care? - Fever, chills, and retroperitoneal pain. Two years after successful ileal pouch anal anastomosis surgery, patients should be instructed to expect how many BMs per day? - 4-8. Which of the following patients would be the best candidate for teaching colostomy irrigation? - A person with descending end colostomy with 2 or less formed BMs per day. A patient with a peristomal hernia presents to the outpatient clinic complaining of pouch leakage. Which pouching solution would be best? - A flexible pouching system.