Ostomy Care Questions and Answers
100% Verified
The nurse recognizes water effluent coming from the ostomy is indicative of what location:
✔✔Ilial portion of the small intestine
The nurse notices that the effluent ra
...
Ostomy Care Questions and Answers
100% Verified
The nurse recognizes water effluent coming from the ostomy is indicative of what location:
✔✔Ilial portion of the small intestine
The nurse notices that the effluent ranges from a thick liquid to a semi-formed stool, indicative
of which location: ✔✔transverse or ascending colon
The nurse is caring for a patient who had a colostomy placed 5 days earlier. The nurse notes that
the stoma is red and moist. Which action should the nurse take? ✔✔Note the condition of the
stoma in her notes.
In caring for a patient who had a fecal surgical diversion, which nursing intervention is essential?
✔✔Place a pouch over the newly created stoma.
When planning care for a patient who has a colostomy, which intervention is important for the
nurse to perform when pouching the colostomy? ✔✔Leave an intact skin barrier in place for 3-7
days.
When providing care for a patient with a colostomy or ileostomy, the nurse recognizes that
which is an expected assessment finding? ✔✔A moist, reddish-pink stoma.
The nurse is caring for a preterm infant in the neonatal ICU who has multiple stomas. Given the
uniqueness of infants, which action is essential for the nurse to take? ✔✔Use a pouch that can
accommodate increased amounts of flatus.
In caring for a patient who has a pouching for a noncontinent urinary diversion, which nursing
intervention is essential? ✔✔Empty the pouch when it is 1/3 - 1/2 full.
When assessing the patient with a noncontinent urinary diversion, the nurse finds that the urine
has mucous shreds. What action should the nurse take? ✔✔Note the characteristics of the urine
in her notes.
The nurse has removed the patient's old urostomy pouch and is attempting to measure the stoma
opening for placement of a new pouch. Which action should the nurse take next? ✔✔Place rolled
gauze at the stoma opening.
A patient who has a urostomy is being discharged to home. Which instruction will the nurse
provide to the patient? ✔✔Shower without covering the pouch.
The nurse is caring for a patient who has a urinary diversion. She notices that the patient has a
temp of 102 and foul-smelling urine. What action should the nurse take? ✔✔Notify the
physician
The nurse is preparing to catheterize a patient who has a urostomy and uses a two-piece pouch
system. The nurse should take which action: ✔✔Remove the pouch and leave the barrier
attached.
The nurse is caring for a patient who will have surgery in the morning to have a colostomy
placed. The nurse is aware of teh physical and emotional stresses that the patient will experience,
including: ✔✔Body image changes
Fear of social rejection
Sexual function and intimacy issues
Loss of independence
The opening created in the abdominal wall for fecal or urinary elimination is known as a _____
✔✔Stoma
The output from a urinary or fecal stoma is called the _____ ✔✔effluent
A ______ is an opening in the large intestine or colon for elimination of fecal material.
✔✔colostomy
AN opening that is in the ileal portion of the small intestine is an _____ ✔✔ileostomy
An ostomy that is created from a portion of the ileum to form a stoma through which urine can
exit the body is called a(n) _____ ✔✔urostomy/ileal conduit
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