Ostomy Questions and Answers with Complete Solutions

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Ostomy Questions and Answers with Complete Solutions What is the nurse's initial action when preparing to change a patient's colostomy pouching system? Applying clean gloves Draping the patient a... ppropriately Emptying the colostomy Assessing the surrounding skin for signs of irritation. ✔✔Applying clean gloves CORRECT. Applying gloves first will protect the nurse while checking the stoma for leakage and assessing the patient's skin for irritation. When pouching a patient's colostomy, which action reduces the patient's risk for injury? Measuring output when emptying the contents of the pouch Maintaining the patient's bowel elimination function Promoting the patient's autonomy with bowel elimination care Protecting the skin from irritation caused by fecal drainage ✔✔Protecting the skin from irritation caused by fecal drainage CORRECT. Protecting the skin from irritation caused by fecal drainage ensures correct pouching and prevents injury associated with skin breakdown. When changing the pouching system, which routine step best minimizes irritation of the skin surrounding the stoma? Using adhesive remover Emptying the ostomy bag only when full Avoiding unnecessary changes of the pouching system Wearing clean gloves ✔✔Avoiding unnecessary changes of the pouching system Wearing clean gloves CORRECT. Each pouching system change increases the risk of irritating the surrounding skin tissue. Which initial nursing action would best help the patient learn self-care of a colostomy pouching system? Giving the patient handouts on self care of a colostomy Allowing the patient to examine an ostomy device Identifying a family member who can participate in the ostomy appliance process Giving the patient a mirror to watch the nurse provide care ✔✔Giving the patient a mirror to watch the nurse provide care CORRECT. Giving the patient a mirror to watch the nurse provide care is a helpful beginning step when teaching a patient self-care of a colostomy pouching system. Which instruction might the nurse give to nursing assistive personnel (NAP) regarding the care of a patient with a newly established colostomy? "Be sure to pat-dry the skin surrounding the stoma before applying the new pouch." "Alert me immediately if you see any blood in the fecal matter in the pouch." "Using the stoma guide, cut the pouch opening about one-eighth of an inch bigger than the stoma." "Remember to change your gloves after cleaning the stoma and the surrounding skin." ✔✔"Alert me immediately if you see any blood in the fecal matter in the pouch." CORRECT. NAP can observe and report anomalies regarding the stoma, the pouch, or its contents. . Which action will the nurse perform first when preparing to change a patient's urostomy pouching system? Apply clean gloves. Drape the patient appropriately. Position absorbent padding beneath the patient. Apply sterile gloves. ✔✔Apply clean gloves. CORRECT. Gloves should be applied before performing any patient care. When pouching a patient's urostomy, which nursing action reduces the risk for injury? Collecting all urinary drainage from the urostomy Maintaining the patient's urinary elimination function Promoting the patient's autonomy with urinary elimination care Protecting the skin from irritation caused by urinary drainage ✔✔Protecting the skin from irritation caused by urinary drainage CORRECT. Improper pouching exposes the skin to urinary drainage, causing skin irritation and breakdown. What will the nurse do to protect the peristomal skin of a patient with a urostomy? Clean the skin around the stoma with soap and hot water. Apply lotion to the skin around the stoma. Wipe the skin with alcohol swabs before applying the device. Clean the skin with warm water and pat dry. ✔✔Clean the skin with warm water and pat dry. CORRECT. Cleaning the skin with warm water and patting it dry will protect the patient's peristomal skin. Which action would be the nurse's priority when caring for a patient with a urostomy who had no urine output for 4 hours? Change the ostomy device. Document the output. Catheterize the patient. Notify the health care provider. ✔✔Notify the health care provider. CORRECT. If a patient with a urostomy had no urine output for several hours, the nurse would notify the health care provider without delay. Which instruction might the nurse give to nursing assistive personnel (NAP) caring for a patient with a newly established urostomy? "Be sure to pat-dry the skin surrounding the stoma before applying the new pouch." "Alert me immediately if you see any blood in the urine that has collected in the pouch." "Using the stoma guide, cut the pouch opening about an eighth of an inch larger than the stoma." "Remember to use warm water when cleaning the stoma and the surrounding skin." ✔✔"Alert me immediately if you see any blood in the urine that has collected in the pouch." CORRECT. NAP can observe and report anomalies regarding the stoma, the pouch, or its contents. [Show More]

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