CNA 8.7.1 OSTOMY EXAM QUESTIONS

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CNA 8.7.1 (OSTOMY) EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -15 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Position the bed

Answer:

Position the Bed

• Raise the side rails.
• Raise the bed to a comfortable working height.
• Lock the bed wheels.
• Lower the side rail on your side of the bed only.

Question 2: Apply barrier

Answer:

Apply Barrier

- If ordered, change the wafer:

• Use a measuring chart to check the size of the stoma. Then cut the wafer to that size.
• Peel the paper backing from the wafer.
• Position the wafer, adhesive side down, around the stoma.
• If the type of ostomy pouch does not use a wafer, follow the manufacturer's instructions to apply a

paste, liquid, or powder barrier to the skin.

Question 3: Clean up

Answer:

Clean Up

• Rinse the bedpan, clean it with disinfectant, and dry it. Follow the facility's guidelines.
• Place any used linen in the dirty linen hamper.
• Remove and discard gloves according to the facility's guidelines.
• Cleanse your hands.
• Return the supplies to their proper places

Question 4: Post procedure actions

Answer:

Post-Procedure Actions

• Check that the patient is comfortable and safe.
• Place the call signal within the patient's reach.
• Report all actions taken and any observations.

Question 5: Position the patient

Answer:

Position the Patient

• Cover the patient with a bath blanket.
• Move the top linens and gown out of the way. Keep the lower body covered.
• Put on gloves.
• Place a bed protector on the patient on the side of the stoma. - Make sure the bedpan is within easy

reach.

Question 6: Prepare for procedure

Answer:

Prepare for Procedure

• Knock on the door before entering the room.
• Address the patient by name and introduce yourself.
• Identify the patient by checking the identification bracelet.
• Provide the patient with privacy.
• Explain the procedure to the patient.

Question 7: Providing ostomy care

Answer:

Ostomy care should be provided every time the patient has a bowel movement. The care may involve emptying and cleaning the bag or changing the bag and applying a new skin barrier. In addition to proper cleaning, deodorants may be put into the bag to help prevent odor.Skin care is a very important part of ostomy care. If feces come in contact with the skin, breakdown can

occur. Also, the adhesives used to prevent leakage can sometimes irritate the skin. Assistants should clean and dry the patient's skin around the stoma. And they should observe the skin for redness, rash, or breakdown.

Question 8: Replace bedcovers and lower the bed

Answer:

Replace Bedcovers and Lower the Bed

• Remove the bed protector.
• If any linen on the bed is soiled, change the linen.
• Replace the bedcovers, and remove the bath blanket.
• Lower the bed, and position the side rails according to instructions.
• Place the call signal within the patient's reach.

Question 9: Purpose of an Ostomy

Answer:

The ostomy allows wastes to be expelled through the opening. A bag or pouch is placed over the stoma to collect the waste. The pouch is held in place by a belt or an adhesive seal.

Common reasons to perform an ostomy include:

• Cancer
• Bowel disease
• Trauma, such as stab wounds or bullet wounds

For some patients, the ostomy is permanent. But for other patients, an ostomy may be temporary. In these cases, the ostomy is done in order to allow diseased or injured tissue time to heal. Once the healing occurs, the ostomy is repaired, and normal elimination is restored.

Question 10: Gather materials

Answer:

Gather Materials

• Cleanse your hands.

- Gather the supplies for the procedure. You will need:

• Bed protector
• Bath blanket
• Washcloth
• Towel
• Basin
• Soap
• Bath thermometer
• Ostomy pouch or bag
• Ostomy belt, if needed
• Adhesive, if needed
• Skin barrier or wafer, if ordered
• Pouch deodorant

• Bedpan with cover
• Biohazard waste bag
• Gloves
• Arrange the equipment. Never place a bedpan on the bedside stand or overbed table. Fill the basin

with 105°F (40.5°C) water. Use a bath thermometer to check the water temperature.

Question 11: Put on a new bag

Answer:

Put on a New Bag

• Place a clean ostomy bag over the stoma.
• If the bag has a drain, make sure it points downward. And make sure the clip or clamp sealing the

drain is secure.

• Apply gentle pressure from the stoma outward.
• Seal the bag tightly to prevent leakage.replay
• Attach a clean belt to the ostomy bag.

Question 12: Ostomy

Answer:

An ostomy is a procedure in which a surgical opening is made into the body. The artificial opening is called a stoma.Ostomies are named for the part of the body involved. For example, a colostomy involves an opening through the abdominal wall into the colon. And an ileostomy involves an opening through the abdominal wall into the part of the small intestine known as the ileum.

Question 13: Sensitivity to ostomy

Answer:

Because patients with ostomies are unable to eliminate body wastes in a normal manner, they may experience negative emotions. They may sense a loss of dignity and control, which can lead to low self-esteem and withdrawal from social activities. And they may feel depressed, anxious, embarrassed, or angry.The assistant can help the patient adjust to the ostomy.

• Allow the patient to do as much of the ostomy care as possible. As a result, the patient can gain

confidence and independence.

• Avoid facial expressions and body language that show reactions to the body waste.
• Be understanding and supportive, and allow patients to express their thoughts and fears.

Question 14: Remove the ostomy bag and clean the area

Answer:

Remove the Ostomy Bag and Clean the Area

• Remove the belt that holds the ostomy bag and save it, if clean.
• Carefully remove the ostomy bag. Be gentle when peeling the bag away from the stoma.