ATI Skills Module 3.0- Ostomy Care Exam Questions With
Correct Answers
1. A nurse is replacing the ostomy appliance for a patient whose newly
| | | | | | | | | | |
| created colostomy is functioning. After removing the pouch, which of the
| | | | | | | | | |
following actions should the nurse take first?
| | | | | | |
A. Measure the stoma. | |
B. Cover the stoma with gauze.
| | | |
C. Remove the backing on the skin barrier | | | | | |
D. Cleanse the stoma and the peristomal skin: Cleanse the stoma and the
| | | | | | | | | | |
peristomal skin.
| |
Rationale: First action nurse should take is to remove any effluent adhering to the
| | | | | | | | | | | | |
stoma & peristomal skin to facilitate assessment of area
| | | | | | | | |
2. A nurse is teaching a patient about extended-wear skin barriers. Whichof
| | | | | | | | | | |
the following strategies should the nurse instruct the patient to use for
| | | | | | | | | | | |
maximal adherence?
| |
A. Use an oil-based lotion on the peristomal area.
| | | | | | |
B. Apply the skin barrier while the skin is slightly moist.
| | | | | | | | |
C. Leave the residue from the previous appliance on the skin.
| | | | | | | | |
D. Press gently around the barrier for 30 seconds to 1 min: Press gently
| | | | | | | | | | | |
around the barrier for 30 seconds to 1 min.
| | | | | | | | |
1 |/ |3
, Rationale:The nurse should instruct the client to press gently around to barrier for30
| | | | | | | | | | | | | |
| seconds to 1 min because the pressure-sensitive tackifiers and heat-sensitive
| | | | | | | | |
polymers of the skin barrier require adequate pressure and warmth (from the
| | | | | | | | | | | |
| fingers) to ensure adherence.
| | |
3. A nurse is providing preoperative teaching for a patient who is scheduledfor
| | | | | | | | | | | |
| creation of a sigmoid colostomy. Which of the following info should the nurse
| | | | | | | | | | | |
| include in the teaching?
| | |
A. Expect the effluent from the sigmoid colostomy to be loose and continu-
| | | | | | | | | | |
ous.
|
B. Use irrigation to help establish a regular bowel pattern.
| | | | | | | |
C. Change the stoma's appliance every other day.| | | | | |
D. Expect effluent from the newly created stoma within 24 hr after surgery: Use
| | | | | | | | | | | ||
| irrigation to help establish a regular bowel pattern.
| | | | | | |
Rationale: Clients with sigmoid colostomies can use irrigation to help control the
| | | | | | | | | | |
2 |/ |3
Correct Answers
1. A nurse is replacing the ostomy appliance for a patient whose newly
| | | | | | | | | | |
| created colostomy is functioning. After removing the pouch, which of the
| | | | | | | | | |
following actions should the nurse take first?
| | | | | | |
A. Measure the stoma. | |
B. Cover the stoma with gauze.
| | | |
C. Remove the backing on the skin barrier | | | | | |
D. Cleanse the stoma and the peristomal skin: Cleanse the stoma and the
| | | | | | | | | | |
peristomal skin.
| |
Rationale: First action nurse should take is to remove any effluent adhering to the
| | | | | | | | | | | | |
stoma & peristomal skin to facilitate assessment of area
| | | | | | | | |
2. A nurse is teaching a patient about extended-wear skin barriers. Whichof
| | | | | | | | | | |
the following strategies should the nurse instruct the patient to use for
| | | | | | | | | | | |
maximal adherence?
| |
A. Use an oil-based lotion on the peristomal area.
| | | | | | |
B. Apply the skin barrier while the skin is slightly moist.
| | | | | | | | |
C. Leave the residue from the previous appliance on the skin.
| | | | | | | | |
D. Press gently around the barrier for 30 seconds to 1 min: Press gently
| | | | | | | | | | | |
around the barrier for 30 seconds to 1 min.
| | | | | | | | |
1 |/ |3
, Rationale:The nurse should instruct the client to press gently around to barrier for30
| | | | | | | | | | | | | |
| seconds to 1 min because the pressure-sensitive tackifiers and heat-sensitive
| | | | | | | | |
polymers of the skin barrier require adequate pressure and warmth (from the
| | | | | | | | | | | |
| fingers) to ensure adherence.
| | |
3. A nurse is providing preoperative teaching for a patient who is scheduledfor
| | | | | | | | | | | |
| creation of a sigmoid colostomy. Which of the following info should the nurse
| | | | | | | | | | | |
| include in the teaching?
| | |
A. Expect the effluent from the sigmoid colostomy to be loose and continu-
| | | | | | | | | | |
ous.
|
B. Use irrigation to help establish a regular bowel pattern.
| | | | | | | |
C. Change the stoma's appliance every other day.| | | | | |
D. Expect effluent from the newly created stoma within 24 hr after surgery: Use
| | | | | | | | | | | ||
| irrigation to help establish a regular bowel pattern.
| | | | | | |
Rationale: Clients with sigmoid colostomies can use irrigation to help control the
| | | | | | | | | | |
2 |/ |3
