NUR 376
NUR 376 Exam 4 |Study Questions and
Answers |2026 Update
Ileostomy
loop of small intestine (stoma) brought out onto surface of the skin
- watery discharge with many digestive enzymes
Colostomy
loop of large intestine (stoma) brought out onto surface of the skin
Ascending colostomy
ascending colon
- liquid to semi liquid output
- just past appendix
Transverse colostomy
transverse colon
- semi-liquid to semi-formed output
Descending colostomy
descending colon
- semi-formed to formed output
Sigmoid colostomy
sigmoid colon
- formed output
Conventional Urostomy
Ureters are implanted into a loop of the ileum where urine drains freely into
the stoma bag
NUR 376
,NUR 376
- permanent
Stoma Appearance
Pink to rosy red and moist
- dark blue, purple, black is BAD, requires revision
Enema
- cleanses lower bowel
- softens feces
- expels flatus
- outlines colon for diagnostic tests
Large Volume Enema
> 500 mL
- tap water
- soap suds
- normal saline
Small Volume Enema
< 200 mL
- commercially prepared felets
Ostomy Irrigation (enema)
enema given through the stoma to stimulate bowel emptying
- 500-1000 mL tap water through stoma
- should be done at the same time of day
- slow rate of fluid administration if cramping occurs
Positioning for Enema
left lateral sims
NUR 376
, NUR 376
Rectal Tube
A tube inserted into the rectum to aid in the expulsion of gas
Enema tube insertion
insert tip of tubing 3 to 4 inches
Obesity
BMI greater than 30
- waist > 35 in women and > 40 in men
- higher rates in women, african americans, hispanics
Overweight
BMI 25-29.9
Obesity comorbidities
- 6-20 year life decrease
- cancer
- T2DM
- asthma
- HTN
- alzheimers
Obesity Labs
Cholesterol
Triglycerides
Fasting BG
HA1c
Liver function tests
Antiobesity medications
NUR 376
NUR 376 Exam 4 |Study Questions and
Answers |2026 Update
Ileostomy
loop of small intestine (stoma) brought out onto surface of the skin
- watery discharge with many digestive enzymes
Colostomy
loop of large intestine (stoma) brought out onto surface of the skin
Ascending colostomy
ascending colon
- liquid to semi liquid output
- just past appendix
Transverse colostomy
transverse colon
- semi-liquid to semi-formed output
Descending colostomy
descending colon
- semi-formed to formed output
Sigmoid colostomy
sigmoid colon
- formed output
Conventional Urostomy
Ureters are implanted into a loop of the ileum where urine drains freely into
the stoma bag
NUR 376
,NUR 376
- permanent
Stoma Appearance
Pink to rosy red and moist
- dark blue, purple, black is BAD, requires revision
Enema
- cleanses lower bowel
- softens feces
- expels flatus
- outlines colon for diagnostic tests
Large Volume Enema
> 500 mL
- tap water
- soap suds
- normal saline
Small Volume Enema
< 200 mL
- commercially prepared felets
Ostomy Irrigation (enema)
enema given through the stoma to stimulate bowel emptying
- 500-1000 mL tap water through stoma
- should be done at the same time of day
- slow rate of fluid administration if cramping occurs
Positioning for Enema
left lateral sims
NUR 376
, NUR 376
Rectal Tube
A tube inserted into the rectum to aid in the expulsion of gas
Enema tube insertion
insert tip of tubing 3 to 4 inches
Obesity
BMI greater than 30
- waist > 35 in women and > 40 in men
- higher rates in women, african americans, hispanics
Overweight
BMI 25-29.9
Obesity comorbidities
- 6-20 year life decrease
- cancer
- T2DM
- asthma
- HTN
- alzheimers
Obesity Labs
Cholesterol
Triglycerides
Fasting BG
HA1c
Liver function tests
Antiobesity medications
NUR 376
