WOC II
Which patient would the WOC nurse recommend as a good candidate for colostomy
irrigation (CI)?
A. A pt who is undergoing radiotherapy
B. A pt with Crohn's
C. A pt with a sigmoid colostomy
D. A pt with liquid stools - correct answer-C. A pt w/a sigmoid colostomy
The WOC nurse is teaching a pt with a new colostomy how to perform CI. Which of the
following should be included in the teaching plan?
A. Water should be hung at waist level.
B. Cramping is normal, the procedure should be continued if this occurs
C. Irrigation should be done daily at the same time each day.
D. Complete return of water and stool may take up to 2 hrs. - correct answer-C. Irrigation
should be done daily at the same time each day.
The WOC nurse is teach a pt to perform a CI. Which step of the following is correct?
A. Attach irrigation cone to tubing and fill the bag w/2000mL of warm tap water
B. Hang the irrigation bag from hook at hip level when seated on toilet
C. Instill the water into the colon over a 15-20 min period
D. After instillation, close the sleeve and wait up to 45 min for complete results - correct
answer-D. After instillation, close the sleeve and wait up to 45 min for complete results
A pt calls the WOC nurse w/signs and symptoms of an ileostomy blockage. what would the
nurse suggest the pt try first to move the blockage forward?
A. Cut a new skin barrier that is a little smaller than normal to stimulate the stoma.
B. Take a warm bath to relax the abdominal muscles.
C. Consume foods high in fiber for a day
D. Remain in a knee-chest position for 20-min to try to move the blockage - correct
answer-B. Take a warm bath to relax the abdominal muscles.
A pt with an ileostomy reports the following symptoms: no stomal output, cramping
abdominal pain, nausea, and abdominal distention. the nurse notes no bowel sounds on
auscultation and suspects a blockage. After contacting the pt's surgeon or WOC RN, the ER
staff should:
A. withhold pain meds until blockage is confirmed
B. Start IV abx
C. Obtain abdXR
D. Force fluids - correct answer-C. Obtain abdXR
A WOC RN is performing an ileostomy lavage for a pt with an ileostomy obstruction. which
step in this procedure is performed correctly?
A. Insert a lubricated, gloved finger into the lumen of the stoma and vigorously break up the
blockage.
B. Attach a colostomy irrigation sleeve to the pt's one-piece pouching system
, C. Working through the top of the colostomy irrigation sleeve, insert a lubricated soft catheter
(#14-16 Fr) into the lumen of the stoma until blockage is reached
D. Slowly instill 30-50mL NS into the catheter using a bulb syringe. remove the catheter and
allow for returns into the irrigation sleeve. - correct answer-C. Working through the top of the
colostomy irrigation sleeve, insert a lubricated soft catheter (#14-16 Fr) into the lumen of the
stoma until blockage is reached
Which of the following is an osmotic laxative used to soften stool and stimulate peristalsis on
a short-term basis?
A. Mag citrate
B. Dulcoloax
C. Metamucil
D. Colace - correct answer-A. Mag citrate
The WOC RN is teaching a pt with an ileostomy how to avoid dehydration d/t loss of K+.
Which food would the RN recommend the pt to include in his/her diet?
A. Spinach
B. Dairy products
C. Apples
D. Whole grains - correct answer-A. Spinach
Which food would the WOC RN recommend for a pt w/a colostomy who is experiencing
diarrhea?
A. Fresh fruits
B. Potatoes
C. Leafy veg
D. Cheese - correct answer-D. Cheese
A complication of a urinary diversion is:
A. hyperchloremic metabolic alkalosis
B. Vitamin B12 deficiency
C. Kidney failure
D. Edema - correct answer-B. Vitamin B12 deficiency
A WOC RN is counseling a pt with a urinary diversion who is taking the med metronidaozle
for giardia. what effect of this med would the nurse describe?
A. Strong urine odor
B. Black urine
C. Red then brown urine
D. Greenish-blue urine - correct answer-C. Red then brown urine
According to Roy's Adaptation Model, an example of focal stimuli is:
A. The stoma itself
B. The person's age
C. The person's gender
D. Insurance coverage - correct answer-A. The stoma itself
Which patient would the WOC nurse recommend as a good candidate for colostomy
irrigation (CI)?
A. A pt who is undergoing radiotherapy
B. A pt with Crohn's
C. A pt with a sigmoid colostomy
D. A pt with liquid stools - correct answer-C. A pt w/a sigmoid colostomy
The WOC nurse is teaching a pt with a new colostomy how to perform CI. Which of the
following should be included in the teaching plan?
A. Water should be hung at waist level.
B. Cramping is normal, the procedure should be continued if this occurs
C. Irrigation should be done daily at the same time each day.
D. Complete return of water and stool may take up to 2 hrs. - correct answer-C. Irrigation
should be done daily at the same time each day.
The WOC nurse is teach a pt to perform a CI. Which step of the following is correct?
A. Attach irrigation cone to tubing and fill the bag w/2000mL of warm tap water
B. Hang the irrigation bag from hook at hip level when seated on toilet
C. Instill the water into the colon over a 15-20 min period
D. After instillation, close the sleeve and wait up to 45 min for complete results - correct
answer-D. After instillation, close the sleeve and wait up to 45 min for complete results
A pt calls the WOC nurse w/signs and symptoms of an ileostomy blockage. what would the
nurse suggest the pt try first to move the blockage forward?
A. Cut a new skin barrier that is a little smaller than normal to stimulate the stoma.
B. Take a warm bath to relax the abdominal muscles.
C. Consume foods high in fiber for a day
D. Remain in a knee-chest position for 20-min to try to move the blockage - correct
answer-B. Take a warm bath to relax the abdominal muscles.
A pt with an ileostomy reports the following symptoms: no stomal output, cramping
abdominal pain, nausea, and abdominal distention. the nurse notes no bowel sounds on
auscultation and suspects a blockage. After contacting the pt's surgeon or WOC RN, the ER
staff should:
A. withhold pain meds until blockage is confirmed
B. Start IV abx
C. Obtain abdXR
D. Force fluids - correct answer-C. Obtain abdXR
A WOC RN is performing an ileostomy lavage for a pt with an ileostomy obstruction. which
step in this procedure is performed correctly?
A. Insert a lubricated, gloved finger into the lumen of the stoma and vigorously break up the
blockage.
B. Attach a colostomy irrigation sleeve to the pt's one-piece pouching system
, C. Working through the top of the colostomy irrigation sleeve, insert a lubricated soft catheter
(#14-16 Fr) into the lumen of the stoma until blockage is reached
D. Slowly instill 30-50mL NS into the catheter using a bulb syringe. remove the catheter and
allow for returns into the irrigation sleeve. - correct answer-C. Working through the top of the
colostomy irrigation sleeve, insert a lubricated soft catheter (#14-16 Fr) into the lumen of the
stoma until blockage is reached
Which of the following is an osmotic laxative used to soften stool and stimulate peristalsis on
a short-term basis?
A. Mag citrate
B. Dulcoloax
C. Metamucil
D. Colace - correct answer-A. Mag citrate
The WOC RN is teaching a pt with an ileostomy how to avoid dehydration d/t loss of K+.
Which food would the RN recommend the pt to include in his/her diet?
A. Spinach
B. Dairy products
C. Apples
D. Whole grains - correct answer-A. Spinach
Which food would the WOC RN recommend for a pt w/a colostomy who is experiencing
diarrhea?
A. Fresh fruits
B. Potatoes
C. Leafy veg
D. Cheese - correct answer-D. Cheese
A complication of a urinary diversion is:
A. hyperchloremic metabolic alkalosis
B. Vitamin B12 deficiency
C. Kidney failure
D. Edema - correct answer-B. Vitamin B12 deficiency
A WOC RN is counseling a pt with a urinary diversion who is taking the med metronidaozle
for giardia. what effect of this med would the nurse describe?
A. Strong urine odor
B. Black urine
C. Red then brown urine
D. Greenish-blue urine - correct answer-C. Red then brown urine
According to Roy's Adaptation Model, an example of focal stimuli is:
A. The stoma itself
B. The person's age
C. The person's gender
D. Insurance coverage - correct answer-A. The stoma itself
