WEB WOC OSTOMY CARE LATEST UPDATED 2024
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY A+ GRADED
jejunostomy location - ANSWER-LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ANSWER-ischemic bowel,
crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy,
with or without small bowel resection, loop or end stoma
jejunostomy function and management - ANSWER-*function
begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and
digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ANSWER-*monitor for electrolyte
imbalances and dehydration
,*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ANSWER-RUQ
ileostomy disease and procedure - ANSWER-crohn's, ulcerative
colitis, familial adenomatous polyposis, trauma, necrotizing
enterocolitis, cancer, ischemic bowel
total proctocolectomy with end ileostomy, total
proctocolectomy with continent ileostomy, temporary
ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management - ANSWER-*function
begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes
mushy
*output of 500-600 ml/day (higher output the higher up in the
ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
, *watch for fluid and electrolyte imbalance
ileostomy complications - ANSWER-*high risk for bowel
obstruction-instruct pt to chew food thoroughly and drink lots
of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ANSWER-RUQ or LUQ
transverse colostomy disease and procedure - ANSWER-
diverticulitis, colon cancer, crohn's, perforated bowel,
congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or
without colectomy, usually temporary loop stoma
transverse colostomy function and management - ANSWER-
*function begins within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY A+ GRADED
jejunostomy location - ANSWER-LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ANSWER-ischemic bowel,
crohn's, trauma, necrotizing enterocolitis
diversion of small bowel at jejunum, with or without colectomy,
with or without small bowel resection, loop or end stoma
jejunostomy function and management - ANSWER-*function
begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and
digestive enzymes)
*output up to 2400ml/day
*empty pouch when 1/3 to 1/2 full
jejunostomy complications - ANSWER-*monitor for electrolyte
imbalances and dehydration
,*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ANSWER-RUQ
ileostomy disease and procedure - ANSWER-crohn's, ulcerative
colitis, familial adenomatous polyposis, trauma, necrotizing
enterocolitis, cancer, ischemic bowel
total proctocolectomy with end ileostomy, total
proctocolectomy with continent ileostomy, temporary
ileostomy, temporary loop ileostomy for ileal pouch-anal
anastomosis
ileostomy function and management - ANSWER-*function
begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes
mushy
*output of 500-600 ml/day (higher output the higher up in the
ileum stoma is)
*empty pouch when 1/3 to 1/2 full
*protect peristomal skin
, *watch for fluid and electrolyte imbalance
ileostomy complications - ANSWER-*high risk for bowel
obstruction-instruct pt to chew food thoroughly and drink lots
of water
*potential risk for vitamin B12 deficiency
transverse colostomy location - ANSWER-RUQ or LUQ
transverse colostomy disease and procedure - ANSWER-
diverticulitis, colon cancer, crohn's, perforated bowel,
congenital disease (Hirschprung's)
diversion of large bowel at the transverse colon, with or
without colectomy, usually temporary loop stoma
transverse colostomy function and management - ANSWER-
*function begins within 48 hours
*initially gas, then mushy or semi-formed
*may have urge to poop with mucous from rectum
*no effect on nutritional absorption
