WEB WOC OSTOMY CARE ACTUAL EXAM

WEB WOC OSTOMY CARE ACTUAL EXAM

WITH REAL QUESTIONS AND CORRECT

ANSWERS| GRADED A+ | LATEST VERSION

SS

Mrs. Rose has an Indiana Pouch created for bladder cancer. She comes to your outpatient clinic and complains of increase mucus production with some increase odor, difficulty with catheterizations that are painful along with back pain. What should you do?

Select one:

• Tell her to drink more fluids, change positions, and rotate catheter while

inserting.

• Tell her to increase the size of the catheter and irrigate catheter with 30 ml of

normal saline.

• Notify her surgeon and obtain a urine sample and send off for analysis, culture &

sensitivity.

• Increase time between catheterizations and rinse catheter with hot water prior to

use. – ANSWER c. Notify her surgeon and obtain a urine sample and send off for analysis, culture & sensitivity.

John is 15-year-old with a new loop ileostomy with an IPAA for refractory chronic ulcerative colitis. This is your first post-operative teaching session. What assumptions can you make about John's primary concerns regarding is new ostomy based upon Erikson's psychosocial phases?

Select one: 1 / 4

• Poor self-esteem and less autonomy
• Fear of loss of occupation and role changes
• Limited activities and inhibition
• Limited peer relationships and poor body image – ANSWER d. Limited peer

relationships and poor body image

Wearing a Medic alert bracelet is critical for which of the following patients?

Select one:

• A 5-year-old with a nephrostomy tube.
• A 1-year-old with a vesicostomy.
• A 65-year-old with an ileal conduit.
• A 35-year-old with an Indiana pouch. – ANSWER d. A 35-year-old with an

Indiana pouch.

The typical site to mark for the Indiana Pouch is:

Select one:

• RUQ.
• RLQ.
• Umbilicus.
• LLQ. – ANSWER b. RLQ.

Later in the postop recovery process it is important to provide instructions on pelvic muscle exercises to the patient with which of the following surgical procedures?

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Select one:

• Indiana pouch.
• Mitrofanoff procedure.
• Vesicostomy.
• Orthotopic neobladder. – ANSWER d. Orthotopic neobladder.

The PRIMARY intervention for the treatment and prevention of pseudo verrucous

lesions is:

Select one:

• Resize the pouching system to the size of the base of the stoma to cover up the

lesions.

• Apply an antifungal powder to the lesions.
• Cauterize the lesions with silver nitrate.
• Alkalinize the urine. – ANSWER a. Resize the pouching system to the size of

the base of the stoma to cover up the lesions.

In general, the infant is so small in weight that they have more skin surface through which to absorb chemicals placed on the skin (trans epidermal absorption). Which of the following nursing interventions demonstrates an understanding of that information?

Select one:

• Generous use of liquid skin barrier products to reduce the risk of epidermal

stripping.

• Avoiding the use of solvents on the skin.
• Minimal use of solid wafer skin barriers. 3 / 4

• Using EMLA or lidocaine topically to reduce the discomfort of perineal

dermatitis. – ANSWER b. Avoiding the use of solvents on the skin.

A patient has a high output enterocutaneous fistula with a pouch seal that has no leakage between changes (every 3-4 days). Removing the pouch skin barrier, you notice a solid patch of raised erythematous skin that matches the size of the skin barrier. The patient is complaining of itching. What is the most likely etiology of this skin condition?

Select one:

• Sensitivity or Allergy to the skin barrier.
• Mechanical irritation during removal of adhesive.
• Irritant dermatitis.
• Folliculitis. – ANSWER a. Sensitivity or Allergy to the skin barrier.

In which of the following situations would you normally expect to see intermittent, brief episodes where the stoma becomes dusky, then "pinks up" again?

Select one:

• 25-year-old with a loop temporary ileostomy who is dehydrated.
• Infant with a transverse colostomy during crying episodes.
• 50-year-old with a sigmoid colostomy and has had history of laxative abuse.
• 55-year-old woman with an ileostomy and recurrence of Crohn's disease. –

ANSWER b. Infant with a transverse colostomy during crying episodes.

When selecting a pouching system for a patient who has an enterocutaneous

fistula, the PRIMARY feature of the system that should guide your selection is:

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