NUR 2032 Chapter 26: The Patient with an Ostomy

NUR 2032 Chapter 26: The Patient with an OstomyChapter 26: The Patient with an Ostomy Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Which term appropriately defines an artificial opening into a body cavity? a. Gastrostomy b. Ostomy c. Colonoscopy d. Ureterostomy ANS: B An ostomy is an artificial opening into a body cavity. DIF: Cognitive Level: Knowledge REF: p. 414 OBJ: 3 TOP: Terminology KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. Why is a patient who has undergone a colostomy instructed to measure the width of the stomas for the first 6 weeks postoperatively before applying each new pouch? a. The stoma will shrink during this time. b. A poor-fitting pouch will cause infection of the stoma. c. The paste will not adhere. d. Prolapse will result. ANS: A During the first 6 weeks, the stoma normally shrinks. The pouch needs to fit as closely to the stoma as is com- fortable and safe to prevent skin irritation. DIF: Cognitive Level: Comprehension REF: p. 427 OBJ: 4 | 7 TOP: Pouch Fit KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation