Ostomy Final Exam questions well
answered already passed
Which of the following diseases may result in intestinal failure requiring surgical resection ?
Necrotizing enterocolitis
Prune Belly Syndrome
Colorectal Cancer
Ulcerative Colitis - correct answer ✔✔Necrotizing enterocolitis
One of the major differences in care of a client with a colostomy and one with an ileostomy is?
The stool of the ileostomy is liquid to mushy which requires increased fluid intake.
The ileostomy is usually able to be reversed when the disease process heals.
Only the client with an ileostomy will require the use of a colostomy bag.
There are usually no dietary restrictions with either client. - correct answer ✔✔The stool of the
ileostomy is liquid to mushy which requires increased fluid intake.
The mother has just been told that her baby has necrotizing enterocolitis and will need surgery.
You do pre-op teaching based on the knowledge that this surgery may involve:
resection of involved bowel with end-to-end anastomosis.
resection of involved bowel with ileostomy and mucous fistula.
diverting colostomy to be followed later by pull-through procedure.
loop jejunostomy to establish bile flow. - correct answer ✔✔resection of involved bowel with
ileostomy and mucous fistula.
A client with an ileostomy has a denuded area of skin below the stoma. Upon removal of the
barrier wafer, you noticed that an area from the barrier opening at 6 o'clock to the edge on the
,barrier wafer was softer and with a lighter color than the rest of barrier. The most likely etiology
of this skin breakdown is
allergic dermatitis
suture granulomas
irritant dermatitis
peristomal candidiasis - correct answer ✔✔irritant dermatitis
Hernia belts should be used when there is parastomal hernia. The goal is to:
give support circumfrentially to hold the pouch in place.
reduce the prolapsed stoma.
reduce the peristomal hernia.
give support to the overhanging obese pannus. - correct answer ✔✔give support
circumfrentially to hold the pouch in place.
Spontaneous closure of fistula may not occur in the following condition:
Formation of pseudoverrucous lesions on the skin
A significant decrease in output after two weeks of NPWT
A daily output of 100 ml
Formation of pseudostoma - correct answer ✔✔Formation of pseudostoma
The ostomy nurse instructs the client with an ileal conduit to notify the physician if
The urine drains continuously from the stoma.
The urine is cloudy and has a foul odor.
The stoma becomes slightly smaller over time.
Many mucus shreds are noted in the urine. - correct answer ✔✔The urine is cloudy and has a
foul odor.
, The ideal length of the stoma should be
1 to 3 cm above skin level.
greater than 4 cm above skin level.
at skin level.
1 cm below the skin level. - correct answer ✔✔1 to 3 cm above skin level.
The lack of urine flow from a newly created urostomy is
indicating the need to change the pouch.
a medical emergency.
normal after surgery.
requiring catheterization. - correct answer ✔✔a medical emergency.
The primary defect in Hirschsprung's disease is:
ischemia of bowel wall leading to necrosis and perforation.
absence of continuity along GI tract with proximal obstruction.
absence of normal ganglion cells and hypertrophic nerves of the bowel leading to collapse of
involved segment and dilation of proximal segment.
twisting of bowel leading to ischemia and obstruction. - correct answer ✔✔absence of normal
ganglion cells and hypertrophic nerves of the bowel leading to collapse of involved segment and
dilation of proximal segment.
A client with a stoma reports pain with stoma evacuation and small, ribbon-like stools. What
stomal complication may be present?
answered already passed
Which of the following diseases may result in intestinal failure requiring surgical resection ?
Necrotizing enterocolitis
Prune Belly Syndrome
Colorectal Cancer
Ulcerative Colitis - correct answer ✔✔Necrotizing enterocolitis
One of the major differences in care of a client with a colostomy and one with an ileostomy is?
The stool of the ileostomy is liquid to mushy which requires increased fluid intake.
The ileostomy is usually able to be reversed when the disease process heals.
Only the client with an ileostomy will require the use of a colostomy bag.
There are usually no dietary restrictions with either client. - correct answer ✔✔The stool of the
ileostomy is liquid to mushy which requires increased fluid intake.
The mother has just been told that her baby has necrotizing enterocolitis and will need surgery.
You do pre-op teaching based on the knowledge that this surgery may involve:
resection of involved bowel with end-to-end anastomosis.
resection of involved bowel with ileostomy and mucous fistula.
diverting colostomy to be followed later by pull-through procedure.
loop jejunostomy to establish bile flow. - correct answer ✔✔resection of involved bowel with
ileostomy and mucous fistula.
A client with an ileostomy has a denuded area of skin below the stoma. Upon removal of the
barrier wafer, you noticed that an area from the barrier opening at 6 o'clock to the edge on the
,barrier wafer was softer and with a lighter color than the rest of barrier. The most likely etiology
of this skin breakdown is
allergic dermatitis
suture granulomas
irritant dermatitis
peristomal candidiasis - correct answer ✔✔irritant dermatitis
Hernia belts should be used when there is parastomal hernia. The goal is to:
give support circumfrentially to hold the pouch in place.
reduce the prolapsed stoma.
reduce the peristomal hernia.
give support to the overhanging obese pannus. - correct answer ✔✔give support
circumfrentially to hold the pouch in place.
Spontaneous closure of fistula may not occur in the following condition:
Formation of pseudoverrucous lesions on the skin
A significant decrease in output after two weeks of NPWT
A daily output of 100 ml
Formation of pseudostoma - correct answer ✔✔Formation of pseudostoma
The ostomy nurse instructs the client with an ileal conduit to notify the physician if
The urine drains continuously from the stoma.
The urine is cloudy and has a foul odor.
The stoma becomes slightly smaller over time.
Many mucus shreds are noted in the urine. - correct answer ✔✔The urine is cloudy and has a
foul odor.
, The ideal length of the stoma should be
1 to 3 cm above skin level.
greater than 4 cm above skin level.
at skin level.
1 cm below the skin level. - correct answer ✔✔1 to 3 cm above skin level.
The lack of urine flow from a newly created urostomy is
indicating the need to change the pouch.
a medical emergency.
normal after surgery.
requiring catheterization. - correct answer ✔✔a medical emergency.
The primary defect in Hirschsprung's disease is:
ischemia of bowel wall leading to necrosis and perforation.
absence of continuity along GI tract with proximal obstruction.
absence of normal ganglion cells and hypertrophic nerves of the bowel leading to collapse of
involved segment and dilation of proximal segment.
twisting of bowel leading to ischemia and obstruction. - correct answer ✔✔absence of normal
ganglion cells and hypertrophic nerves of the bowel leading to collapse of involved segment and
dilation of proximal segment.
A client with a stoma reports pain with stoma evacuation and small, ribbon-like stools. What
stomal complication may be present?
