Ostomy care practice questions and answers already passed

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Ostomy care practice questions and answers already passed On assessment of a patient with a colostomy, you note the stoma is located on the right area of the abdomen. Due to its location, this is k... nown as what type of colostomy? A. Descending Colostomy B. Transverse C. Ileostomy D. Ascending Colostomy ✔✔The answer is D. This is known as an ascending colostomy. Thinking back to the patient in Question 1, what type of stool would you expect the stoma to be excreting? A. Liquid stool B. Lose to partly formed stool C. Similar to normal stool D. Semi-solid stool ✔✔The answer is A. Stool from an ascending colostomy will be liquid. Stool from a Transverse Colostomy: lose to partly formed stool, Descending/Sigmoid: similar to normal solid consistency. An ileostomy will always excrete liquid stool. True or False: An ileostomy is a surgical opening created to bring the large intestine to the surface of the abdomen. True False ✔✔The answer is FALSE. An ileostomy is a surgical opening created to bring the SMALL (not large) intestine to the surface of the abdomen. Describe, in order, how food travels from the stomach to the rectum: A. It exits the stomach into: the cecum to the jejunum to the ileum, then into the duodenum, descending colon, transverse colon, ascending colon, sigmoid colon, and rectum. B. It exits the stomach into: the duodenum to the ileum to the jejunum, then into the cecum, ascending colon, sigmoid colon, descending colon, transverse colon, and rectum. C. It exits the stomach into: the ileum to the jejunum to the duodenum, then into the cecum, sigmoid colon, transverse colon, descending colon, ascending colon, and rectum. D. It exits the stomach into: the duodenum to the jejunum to the ileum, then into the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum. ✔✔D. It exits the stomach into: the duodenum to the jejunum to the ileum, then into the cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum. A patient has a double-barrel colostomy of the transverse colon. You note on assessment two stomas, a proximal and distal stoma. What type of stool do you expect to drain from the proximal and distal stomas? A. Proximal: lose to partly formed stool; Distal: mucous B. Proximal: liquid stool; Distal: mucous C. Proximal: mucous; Distal: lose to partly formed stool D. Proximal & Distal: lose to partly formed stool ✔✔A. Proximal: lose to partly formed stool; Distal: mucous The answer is A. The proximal will drain stool while the distal will NOT. The distal will drain mucous. Since it is a double-barrel colostomy of the transverse colon, you can expect the stool to be lose to partly formed. A patient is 8 hours post-opt from an colostomy placement. Which finding requires immediate nursing action? A. The stoma is swollen and large. B. The stoma is black. C. The stoma is not draining any stool. D. The patient states the site is tender. ✔✔The answer is B. An assessment finding of a stoma being black is not a normal finding but represents compromised circulation to the stoma. It requires immediate physician notification. The stoma should look red and be shiny/moist. It is normal for a stoma to be swollen and large after surgery (this will subside after a few months), and it is normal for the site to be tender due to the surgery (this will subside as well) and for the stoma to not be draining any stool yet. It can take approximately 2 day before stool drains from a colostomy. A patient, who had a colostomy placed yesterday, calls on the call light to say their surgical dressing "fell off". You will re-apply what type of dressing over the stoma? A. Wet to dressing B. No dressing is needed. You will keep it open to air. C. Petroleum gauze dressing D. Telfa gauze ✔✔The answer is C. A petroleum gauze dressing will be kept in place (or a sterile dry dressing) until a pouch system is in place. You're providing teaching to a patient with an ileostomy on how to change their pouch drainage system. Which statement is INCORRECT about how to change a pouching system for an ostomy? A. Empty the pouch when it is 1/3 to 1/2 full. B. Change the pouching system every 3-5 days. C. When measuring the stoma for skin barrier placement, be sure the opening of the skin barrier is a 2/3 inch larger than the stoma. D. Keep the skin around the stoma clean and dry at all times. ✔✔The answer is C. This statement is INCORRECT. When measuring the stoma for skin barrier placement, be sure the opening of the skin barrier is a 1/8 inch larger than the stoma.....not 2/3 inch. You receive a doctor's order for a patient to take Aspirin EC by mouth daily. The patient has the following medication history: diabetes type 2, peripheral vascular disease, and a permanent ileostomy. What is your next nursing action? A. Administer the medication as ordered. B. Crush the medication and mix it in applesauce. C. Hold the medication and notify the doctor the patient has an ileostomy. D. Crush the medication and mix it in pudding. ✔✔C. Hold the medication and notify the doctor the patient has an ileostomy. The answer is C. Aspirin EC is an enteric-coated form of Aspirin. A patient with an ileostomy should not take enteric-coated or sustained-released medications. Enteric-coating medications don't dissolve until reaching a specific part of the small intestine, and sustained-released medications release slowly over a period of time. Remember a patient with an ileostomy does not have the ability to fully utilize the function of the small intestine and this medication will not be able to perform properly. The nurse should hold the medication and notify the doctor for further orders. You're providing diet teaching to a patient with an ileostomy. Which foods should the patient consume in very small amounts or completely avoid? A. Peanut butter, bananas, rice B. Corn, popcorn, nut and seeds C. Grape juice, bread, and pasta D. Vinegar, soft drinks, and cured meats ✔✔The answer is B. The foods in option B are difficult to digest and could block the stoma. The patient should either consume these foods in VERY small amounts or avoid them all together. A patient, who has a colostomy, asks what type of foods they should avoid to decrease odorous gas. You would tell the patient to avoid: A. Onions, alcoholic beverages, eggs, and cabbage B. Beef, fried foods, lettuce, and rice C. Apple, pears, nuts, and wheat D. Potatoes, peas, carrots, and chicken ✔✔The answer is A. The patient should avoid foods like: onions, alcoholic beverages, eggs, and cabbage etc. to decrease odorous gas. . A patient is 2 days post-opt from an ileostomy placement. Which finding requires immediate nursing action? A. The stoma is excreting liquid stool. B. The patient's potassium level is 2.0 C. The stoma is bright red and moist. D. The patient reports mucoid drainage from the anus. ✔✔The answer is B. A patient with an ileostomy is at risk for electrolyte imbalances. The nurse should monitor the patient (especially after ileostomy surgery) for these imbalances. A normal potassium is 3.5 to 5.1. Therefore, a level of 2.0 requires immediate nursing action. The nurse should contact the physician for further orders. All the other options are normal findings found with an ileostomy. 13. Which type of colostomy can allow a patient to have bowel continence? A. Descending or Sigmoid Colostomy B. Ascending or Transverse Colostomy C. Transverse or Descending Colostomy D. Ascending or Descending Colostomy ✔✔The answer is A. Patients with a colostomy in locations most distal in the GI track have the highest chance of bowel continence (hence, learn to control their bowel movements). True or False: Patients with an ileostomy are at greater risk for dehydration and an electrolyte imbalance. True False ✔✔true [Show More]

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