NUR221 Final – Steinke Exam Questions with Correct Answers Verified by
Experts| Latest Update
why are ostomies created colorectal cancer, diverticulitis, polyps, IBS, ulcerative colitis,
trauma, etc.
ileostomy creation of an artificial opening into the ileum
how is a stoma created the healthy portion of the bowel is used
how should a healthy and clean stoma appear shiny
red
wet
(much like the inside of the mouth)
effluent stool discharged from the stoma
consistencies of effluent ascending colon - fluid
transverse colon - semifluid, mushy
descending/sigmoid colon - semisolid
rectum - solid
what psychological damage can be done after a patient receives a stoma risk for altered
body image (from appearance and odor)
risk for social isolation
fear
ineffective grieving
,sexual dysfunction
risk for impaired skin integrity
D.E.T assessment tool used to assess the stoma
Discoloration Erosion Tissue
"MINDS" causes of irritation mechanical trauma
infection
noxious chemicals
disease of the skin
skin irritants
what strategies can we use to protect peri-stomal skin silicones
zinc oxide powder or waste
acrylates
hydrocolloids
silver
stomal pouching one piece system pouch and skin barrier are a single system
designed for discretion because they are more flexible and simple
stoma pouching two piece system pouch and skin barrier are two separate pieces, so it
allows you to change the pouch without changing the skin barrier
how often should skin wafer be changed q 3-5 days
, DVT deep vein thrombosis; a blood clot forms in one or more of the deep veins, usually in
your legs
PE pulmonary embolism; blockage in one more arteries in the lungs caused by blood clots
most commonly from the legs
risk factors for DVT immobility
trauma
recent surgery
varicosities
dehydration
atrial fib
CHF
COPD
recent MI
pregnancy
family history
cancer therapy
obesity
fracture of pelvis, femur, or knee
increasing age
smoking
symptoms of DVT pain and tenderness
swelling
discoloration or redness of the affected area
skin that is warm to the touch
Experts| Latest Update
why are ostomies created colorectal cancer, diverticulitis, polyps, IBS, ulcerative colitis,
trauma, etc.
ileostomy creation of an artificial opening into the ileum
how is a stoma created the healthy portion of the bowel is used
how should a healthy and clean stoma appear shiny
red
wet
(much like the inside of the mouth)
effluent stool discharged from the stoma
consistencies of effluent ascending colon - fluid
transverse colon - semifluid, mushy
descending/sigmoid colon - semisolid
rectum - solid
what psychological damage can be done after a patient receives a stoma risk for altered
body image (from appearance and odor)
risk for social isolation
fear
ineffective grieving
,sexual dysfunction
risk for impaired skin integrity
D.E.T assessment tool used to assess the stoma
Discoloration Erosion Tissue
"MINDS" causes of irritation mechanical trauma
infection
noxious chemicals
disease of the skin
skin irritants
what strategies can we use to protect peri-stomal skin silicones
zinc oxide powder or waste
acrylates
hydrocolloids
silver
stomal pouching one piece system pouch and skin barrier are a single system
designed for discretion because they are more flexible and simple
stoma pouching two piece system pouch and skin barrier are two separate pieces, so it
allows you to change the pouch without changing the skin barrier
how often should skin wafer be changed q 3-5 days
, DVT deep vein thrombosis; a blood clot forms in one or more of the deep veins, usually in
your legs
PE pulmonary embolism; blockage in one more arteries in the lungs caused by blood clots
most commonly from the legs
risk factors for DVT immobility
trauma
recent surgery
varicosities
dehydration
atrial fib
CHF
COPD
recent MI
pregnancy
family history
cancer therapy
obesity
fracture of pelvis, femur, or knee
increasing age
smoking
symptoms of DVT pain and tenderness
swelling
discoloration or redness of the affected area
skin that is warm to the touch
