WEB WOC OSTOMY CARE EXAM NEWEST
2024 WITH COMPLETE QUESTIONS AND
CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
vesicostomy/ileovesicostomy/appendicovesicostomy location - ✔✔ANSW✔✔..just
above the pubic bone (vesicostomy/leovesicostomy), or at the umbilicus
(appendicovesicostomy)
vesicostomy/ileovesicostomy/appendicovesicostomy disease and procedure -
✔✔ANSW✔✔..spina bifida, prune belly syndrome, bladder exstrophy
vesicostomy: bladder is brought out to the skin
ileovesicostomy: piece of bowel is used to form a channel from bladder to the skin
appednicovesicostomy (mitrofanoff): appendix is used as the channel between the
bladder and the skin, exiting at the umbilicus, continent stoma results
*pediatric procedures
vesicostomy/ileovesicostomy/appendicovesicostomy function and management -
✔✔ANSW✔✔..*functions immediately with clear to blood-tinged urine
*diaper, catheterize, or pouching system
vesicostomy/ileovesicostomy/appendicovesicostomy complications -
✔✔ANSW✔✔..*UTIs
*difficult to pouch given low location
*high rates of wound infections
*incontinence
, 3 major surgical procedures for colon and rectal cancer - ✔✔ANSW✔✔..1. colectomy
without a stoma
2. low anterior resection with temporary stoma
3. abdominoperineal resection with permanent stoma
low anterior resection - ✔✔ANSW✔✔..Resection of the lower colon and proximal
rectum with an anastomosis of the remaining colon to the distal rectum
*for tumors classified at the mid to high level of the rectum
*2 stage procedure with temporary loop ileostomy
wide surgical resection done = risk for sexual dysfunction
abdominoperineal resection - ✔✔ANSW✔✔..removal of the distal colon and rectum
through both abdominal and perineal approaches
*for low rectal tumors
*creates permanent sigmoid or descending colostomy
*wide resection done = risk for sexual dysfunction
jejunostomy location - ✔✔ANSW✔✔..LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ✔✔ANSW✔✔..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 - ✔✔ANSW✔✔..*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 - ✔✔ANSW✔✔..*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ✔✔ANSW✔✔..RUQ
ileostomy disease and procedure - ✔✔ANSW✔✔..crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
2024 WITH COMPLETE QUESTIONS AND
CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
vesicostomy/ileovesicostomy/appendicovesicostomy location - ✔✔ANSW✔✔..just
above the pubic bone (vesicostomy/leovesicostomy), or at the umbilicus
(appendicovesicostomy)
vesicostomy/ileovesicostomy/appendicovesicostomy disease and procedure -
✔✔ANSW✔✔..spina bifida, prune belly syndrome, bladder exstrophy
vesicostomy: bladder is brought out to the skin
ileovesicostomy: piece of bowel is used to form a channel from bladder to the skin
appednicovesicostomy (mitrofanoff): appendix is used as the channel between the
bladder and the skin, exiting at the umbilicus, continent stoma results
*pediatric procedures
vesicostomy/ileovesicostomy/appendicovesicostomy function and management -
✔✔ANSW✔✔..*functions immediately with clear to blood-tinged urine
*diaper, catheterize, or pouching system
vesicostomy/ileovesicostomy/appendicovesicostomy complications -
✔✔ANSW✔✔..*UTIs
*difficult to pouch given low location
*high rates of wound infections
*incontinence
, 3 major surgical procedures for colon and rectal cancer - ✔✔ANSW✔✔..1. colectomy
without a stoma
2. low anterior resection with temporary stoma
3. abdominoperineal resection with permanent stoma
low anterior resection - ✔✔ANSW✔✔..Resection of the lower colon and proximal
rectum with an anastomosis of the remaining colon to the distal rectum
*for tumors classified at the mid to high level of the rectum
*2 stage procedure with temporary loop ileostomy
wide surgical resection done = risk for sexual dysfunction
abdominoperineal resection - ✔✔ANSW✔✔..removal of the distal colon and rectum
through both abdominal and perineal approaches
*for low rectal tumors
*creates permanent sigmoid or descending colostomy
*wide resection done = risk for sexual dysfunction
jejunostomy location - ✔✔ANSW✔✔..LUQ
*frequently not marked by the WOC nurse
jejunostomy disease and procedure - ✔✔ANSW✔✔..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 - ✔✔ANSW✔✔..*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 - ✔✔ANSW✔✔..*monitor for electrolyte imbalances and
dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
ileostomy location - ✔✔ANSW✔✔..RUQ
ileostomy disease and procedure - ✔✔ANSW✔✔..crohn's, ulcerative colitis, familial
adenomatous polyposis, trauma, necrotizing enterocolitis, cancer, ischemic bowel
