ACTUAL WEB WOC OSTOMY CARE FINAL EXAM LATEST
APPROVED QUESTIONS WITH WELL ELABORATED ANSWERS
(100% CORRECT VERIFIED ANSWERS) A NEW UPDATED
VERSION |GUARANTEED PASS.
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
transverse colostomy complications - ANSWER: *waistline location can be difficult to
manage
descending colostomy location - ANSWER: LLQ
descending colostomy disease and procedure - ANSWER: colorectal cancer, trauma,
bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent
end colostomy with Hartmann's pouch (sewing shut top of rectum with ability to
reconnect to GI tract later)
descending colostomy function and management - ANSWER: *function may not
begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications - ANSWER: *monitor, prevent, and manage
constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - ANSWER: total proctocolectomy performed and
abdominal ileal pouch is made. The continence mechanism is a nipple valve
constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - ANSWER: usually done in 1, 2, or 3 stages
the colon and most of the rectum are removed, but the anus remains intact, a pouch
is constructed from the ileum and anastomosed to the distal rectum, a temporary
loop ileostomy is created to divert stool while the anastomosis heals, the ileostomy
is taken down once the suture lines heal and normal bowel function is restored
ileal/colon conduit location - ANSWER: ileal: RLQ
APPROVED QUESTIONS WITH WELL ELABORATED ANSWERS
(100% CORRECT VERIFIED ANSWERS) A NEW UPDATED
VERSION |GUARANTEED PASS.
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
transverse colostomy complications - ANSWER: *waistline location can be difficult to
manage
descending colostomy location - ANSWER: LLQ
descending colostomy disease and procedure - ANSWER: colorectal cancer, trauma,
bowel perforation, ischemic bowel
permanent end colostomy with rectum and anus removed, temporary or permanent
end colostomy with Hartmann's pouch (sewing shut top of rectum with ability to
reconnect to GI tract later)
descending colostomy function and management - ANSWER: *function may not
begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications - ANSWER: *monitor, prevent, and manage
constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - ANSWER: total proctocolectomy performed and
abdominal ileal pouch is made. The continence mechanism is a nipple valve
constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - ANSWER: usually done in 1, 2, or 3 stages
the colon and most of the rectum are removed, but the anus remains intact, a pouch
is constructed from the ileum and anastomosed to the distal rectum, a temporary
loop ileostomy is created to divert stool while the anastomosis heals, the ileostomy
is taken down once the suture lines heal and normal bowel function is restored
ileal/colon conduit location - ANSWER: ileal: RLQ
