Chapter 18: The Patient with an Ostomy
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A patient says, “I hate this yucky paste under my appliance: I think I will just tape it on:”
What is the best response by the nurse?
a. “Taping will not work!”
b. “Taping will not seal the wafer tight enough to prevent leakage or fill increases:”
c. “Taping with waterproof tape is just as effective as the paste:”
d. “Taping is far more irritating to the skin than the paste would be:”
ANS: B
Reminding the patient that the paste both bonds and waterproofs is the best
information:
DIF: Cognitive Level: Application REF: p: 304 OBJ: 6 | 7
TOP: Function of Paste on Ostomy Appliance
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
2. A patient comes to the industrial nurse and is frantic because the stoma to the colostomy
has prolapsed 1 year after surgery: What is the best response by the nurse?
a. “If there are still feces coming from the stoma, then it is not blocked: Contact your
surgeon for an evaluation:”
b. “You must come in immediately because the stoma may completely retract into
your abdomen:”
c. “This is an emergency situation because it has stenosed:”
d. “Don’t worry about that: Coughing or sneezing might have caused the prolapse: It
will come back out in a few hours:”
ANS: A
The prolapse of a stoma is very disturbing to a patient: The condition should be
, evaluated by the surgeon: However, if the stoma is still patent, emergency
implementation is not necessary: Prolapse can be caused by coughing or sneezing, but
the stoma will still need evaluation:
DIF: Cognitive Level: Application REF: p: 312 OBJ: 7
TOP: Stomal Prolapse KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. A patient is receiving discharge instructions and shares with the nurse that he intends to
do a lot of traveling: What instruction should the nurse include?
a. “Pack plenty of extra colostomy supplies in your checked airline luggage: Some
places you might visit do not always carry the supplies you will need:”
b. “Exercise caution with new foods, especially local fruits and vegetables because
they may cause diarrhea or gas:”
c. “If visiting somewhere where drinking local water is not advised, irrigating the
colostomy with the local water is still okay:”
d. “Repeat back to me what we just talked about so that you will remember
everything you have been taught:”
ANS: B
Warning about foods in a different country is appropriate: Supplies should be placed
in a carry-on bag for quick access or in the case of lost luggage: Water that is not safe
to drink is not appropriate as irrigation fluid:
DIF: Cognitive Level: Application REF: p: 306 OBJ: 7
TOP: Discharge Instructions KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Basic Care and Comfort
4. 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:
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A patient says, “I hate this yucky paste under my appliance: I think I will just tape it on:”
What is the best response by the nurse?
a. “Taping will not work!”
b. “Taping will not seal the wafer tight enough to prevent leakage or fill increases:”
c. “Taping with waterproof tape is just as effective as the paste:”
d. “Taping is far more irritating to the skin than the paste would be:”
ANS: B
Reminding the patient that the paste both bonds and waterproofs is the best
information:
DIF: Cognitive Level: Application REF: p: 304 OBJ: 6 | 7
TOP: Function of Paste on Ostomy Appliance
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
2. A patient comes to the industrial nurse and is frantic because the stoma to the colostomy
has prolapsed 1 year after surgery: What is the best response by the nurse?
a. “If there are still feces coming from the stoma, then it is not blocked: Contact your
surgeon for an evaluation:”
b. “You must come in immediately because the stoma may completely retract into
your abdomen:”
c. “This is an emergency situation because it has stenosed:”
d. “Don’t worry about that: Coughing or sneezing might have caused the prolapse: It
will come back out in a few hours:”
ANS: A
The prolapse of a stoma is very disturbing to a patient: The condition should be
, evaluated by the surgeon: However, if the stoma is still patent, emergency
implementation is not necessary: Prolapse can be caused by coughing or sneezing, but
the stoma will still need evaluation:
DIF: Cognitive Level: Application REF: p: 312 OBJ: 7
TOP: Stomal Prolapse KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. A patient is receiving discharge instructions and shares with the nurse that he intends to
do a lot of traveling: What instruction should the nurse include?
a. “Pack plenty of extra colostomy supplies in your checked airline luggage: Some
places you might visit do not always carry the supplies you will need:”
b. “Exercise caution with new foods, especially local fruits and vegetables because
they may cause diarrhea or gas:”
c. “If visiting somewhere where drinking local water is not advised, irrigating the
colostomy with the local water is still okay:”
d. “Repeat back to me what we just talked about so that you will remember
everything you have been taught:”
ANS: B
Warning about foods in a different country is appropriate: Supplies should be placed
in a carry-on bag for quick access or in the case of lost luggage: Water that is not safe
to drink is not appropriate as irrigation fluid:
DIF: Cognitive Level: Application REF: p: 306 OBJ: 7
TOP: Discharge Instructions KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Basic Care and Comfort
4. 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:
