Ostomy Care Questions and Answers 100% Pass

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Ostomy Care Questions and Answers 100% Pass A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. After removing the pouch, which of the following sh... ould the nurse do first? A. Measure the stoma. B. Cover the stoma with gauze. C. Remove the backing on the skin barrier. D. Cleanse the stoma and the peristomal skin. ✔✔D. Cleanse the stoma and the peristomal skin. A nurse is teaching a patient with a new ileostomy about incorporating preventive strategies at home. To prevent excoriation and breakdown of the peristomal skin, the nurse should instruct the patient to? A. Apply hydrocortisone cream to the skin when changing the appliance. B. Empty the pouch when it is no more than half full. C. Wash the peristomal skin frequently with deodorizing soap and water. D. Choose a time shortly after a meal for replacing the pouch. ✔✔B. Empty the pouch when it is no more than half full. A nurse is providing preoperative teaching for an older adult patient who has diverticulitis and is scheduled for a creation of a double-barrel colostomy in the sigmoid colon. Which of the following instructions should the nurse include in the teaching? A. Irrigate both stomas periodically to promote drainage. B. Tape a dry gauze pad over the distal stoma to collect drainage. C. Change the proximal stoma's appliance every other day. D. Expect liquid stool to drain from both stomas. ✔✔B. Tape a dry gauze pad over the distal stoma to collect drainage. A nurse is providing preoperative teaching for a patient who has colon cancer. The surgeon informed the patient that his entire large intestine and rectum will be removed. The nurse should explain the type of ostomy he will have is? A. A cecostomy. B. A loop colostomy. C. An ileostomy. D. A descending colostomy. ✔✔C. An ileostomy. A nurse is obtaining health history from a young adult patient who has a colostomy. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. He reports that his concerns about leakage have limited his social activities. Which of the following should the nurse recommend? A. Consume foods that are low in fiber content. B. Take an ounce of mineral oil twice a day. C. Add buttermilk and cranberry juice to the diet. D. Increase water intake to 3 to 3.5 L per day. ✔✔A. Consume foods that are low in fiber content. While a nurse is teaching a patient how to replace her ostomy pouching system, the patient reports that removing the skin barrier is sometimes painful. Which of the following should the nurse suggest? A. Lift up on both sides of the skin barrier simultaneously. B. Release one corner of the barrier and pull it quickly over the stoma. C. Push the skin away from the barrier while removing it. D. Gently roll the barrier end-over-end across the stoma. ✔✔C. Push the skin away from the barrier while removing it. A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. The nurse should explain the option that will allow that is A. A Kock's pouch. B. An ileal conduit. C. Acutaneous ureterostomy. D. A nephrostomy. ✔✔A. A Kock's pouch. A nurse is teaching a patient how to apply an extended-wear skin barrier. Which of the following strategies should the nurse instruct the patient to use for maximal adherence? A. Use an oil-based lotion on the peristomal area. B. Apply the skin barrier while the skin is slightly moist. C. Leave the residue from the previous appliance on the skin. D. Press gently around the barrier for 1 to 2 minutes. ✔✔D. Press gently around the barrier for 1 to 2 minutes. [Show More]

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