WEB WOC OSTOMY CARE FINAL EXAM

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WEB WOC OSTOMY CARE FINAL EXAM

UPDATED ACTUAL EXAM WITH CORRECT

SOLUTIONS.

The patient who is NPO for several days is at risk for atrophy of which of the following structures in the mucosal surface of the small bowel?

Select one:

• Ligament of Treitz.
• Villi.
• Ampulla of Vater.
• Sphincter of Oddi. - correct answer- b. Villi.

A bowel prep preoperatively for ostomy surgery is routinely utilized to decrease bacteria in the bowel. The section of the

bowel with the greatest level of bacteria is:

Select one:

• Distal portion of the colon.
• Proximal portion of the colon.
• Distal portion of the small bowel.
• Proximal portion of the small bowel. - correct answer- a.

Distal portion of the colon. 1 / 4

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An Ileal pouch anal anastomosis (IPAA) which is also referred to as the ileoanal reservoir is indicated for which of the following disease processes?

Select one:

• Irritable bowel syndrome and Crohn's Disease.
• Colorectal cancer and chronic ulcerative colitis.
• Crohn's Disease and chronic ulcerative colitis.
• Ulcerative colitis and familial adenomatous polyposis. -

correct answer- d. Ulcerative colitis and familial adenomatous polyposis.

The preferred abdominal location for an ileostomy in the adult is

the:

Select one:

• LLQ.
• LUQ.
• RLQ.
• RUQ. - correct answer- c. RLQ.

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Gary is experiencing a recurrence of his Crohn's Disease.Which of the following symptoms is Gary most likely experiencing?

Select one:

• Obstructive abdominal pain.
• Absence of perianal disease.
• Bloody stools with proctitis.
• Vomiting. - correct answer- a. Obstructive abdominal pain.

The patient with ulcerative colitis will commonly exhibit:

Select one:

• Oral ulcerations.
• Significant abdominal pain.
• Superficial mucosal involvement.
• Fistula formation. - correct answer- c. Superficial mucosal

involvement.

When you read in the postoperative surgical report that the stoma was primarily matured, you can expect which of the following?

Select one: 3 / 4

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• The stoma will be opened at the bedside with electrocautery.
• The stoma has been present for at least 3 months.
• The stoma is ready for sutures at the mucocutaneous

junction to be removed.

• The bowel was everted and sutured to the dermal surface

during surgery. - correct answer- d. The bowel was everted and sutured to the dermal surface during surgery.

Which of the following groups of medications is used in the medical management of Crohn's disease?

Select one:

• Corticosteroids and immune suppressants.
• Anticholinergics and anti-emetics.
• Antidepressants and antibiotics.
• Immune suppressants and antidepressants. - correct

answer- a. Corticosteroids and immune suppressants.

Which of the following statements about Crohn's disease and/or ulcerative colitis is true?

Select one:

• Both Crohn's Disease and ulcerative colitis are characterized

by patchy mucosal involvement and skip lesions.

• Crohn's Disease is limited to the colon and rectum.
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