WEB WOC Ostomy Care FINAL EXAM |
FREQUENTLY TESTED QUESTIONS
WITH CORRECT ANSWERS | BRAND
NEW!
jejunostomy location - Correct Answer: LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - Correct 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 - Correct 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 - Correct Answer: *monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - Correct Answer: RUQ
ileostomy disease and procedure - Correct 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 - Correct 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 - Correct 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 - Correct Answer: RUQ or LUQ
transverse colostomy disease and procedure - Correct 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 - Correct 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 - Correct Answer: *waistline location can be difficult to manage
descending colostomy location - Correct Answer: LLQ
FREQUENTLY TESTED QUESTIONS
WITH CORRECT ANSWERS | BRAND
NEW!
jejunostomy location - Correct Answer: LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - Correct 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 - Correct 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 - Correct Answer: *monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - Correct Answer: RUQ
ileostomy disease and procedure - Correct 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 - Correct 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 - Correct 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 - Correct Answer: RUQ or LUQ
transverse colostomy disease and procedure - Correct 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 - Correct 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 - Correct Answer: *waistline location can be difficult to manage
descending colostomy location - Correct Answer: LLQ
