1
WEB WOC OSTOMY CARE FINAL EXAM
GUIDE/COMPREHENSIVE STUDY GUIDE/
NEWEST 2024-2025 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED
ANSWERS✓
jejunostomy location
Ans: LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure
Ans: 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
Ans: *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
Pretest - Stuvia US
,2
Ans: *monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location
Ans: RUQ
ileostomy disease and procedure
Ans: 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
Ans: *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
Pretest - Stuvia US
, 3
Ans: *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
Ans: RUQ or LUQ
transverse colostomy disease and procedure
Ans: 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
Ans: *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
Ans: *waistline location can be difficult to manage
descending colostomy location
Ans: LLQ
Pretest - Stuvia US
WEB WOC OSTOMY CARE FINAL EXAM
GUIDE/COMPREHENSIVE STUDY GUIDE/
NEWEST 2024-2025 ACTUAL EXAM COMPLETE
100 QUESTIONS AND CORRECT DETAILED
ANSWERS✓
jejunostomy location
Ans: LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure
Ans: 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
Ans: *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
Pretest - Stuvia US
,2
Ans: *monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location
Ans: RUQ
ileostomy disease and procedure
Ans: 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
Ans: *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
Pretest - Stuvia US
, 3
Ans: *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
Ans: RUQ or LUQ
transverse colostomy disease and procedure
Ans: 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
Ans: *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
Ans: *waistline location can be difficult to manage
descending colostomy location
Ans: LLQ
Pretest - Stuvia US
