WEB WOC Ostomy Care: Quiz Questions and Correct Answers

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WEB WOC Ostomy Care: Quiz Questions and Correct Answers 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: a. Ligament of Treitz. b. Villi. c. Ampulla of Vater. d. Sphincter of Oddi. ✔Ans✔ 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: a. Distal portion of the colon. b. Proximal portion of the colon. c. Distal portion of the small bowel. d. Proximal portion of the small bowel. ✔Ans✔ a. Distal portion of the colon. 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: a. Irritable bowel syndrome and Crohn's Disease. b. Colorectal cancer and chronic ulcerative colitis. c. Crohn's Disease and chronic ulcerative colitis. d. Ulcerative colitis and familial adenomatous polyposis. ✔Ans✔ d. Ulcerative colitis and familial adenomatous polyposis. The preferred abdominal location for an ileostomy in the adult is the: Select one: a. LLQ. b. LUQ. c. RLQ. d. RUQ. ✔Ans✔ c. RLQ. Gary is experiencing a recurrence of his Crohn's Disease. Which of the following symptoms is Gary most likely experiencing? Select one: a. Obstructive abdominal pain. b. Absence of perianal disease. c. Bloody stools with proctitis. d. Vomiting. ✔Ans✔ a. Obstructive abdominal pain. The patient with ulcerative colitis will commonly exhibit: Select one: a. Oral ulcerations. b. Significant abdominal pain. c. Superficial mucosal involvement. d. Fistula formation. ✔Ans✔ 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: a. The stoma will be opened at the bedside with electrocautery. b. The stoma has been present for at least 3 months. c. The stoma is ready for sutures at the mucocutaneous junction to be removed. d. The bowel was everted and sutured to the dermal surface during surgery. ✔Ans✔ 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: a. Corticosteroids and immune suppressants. b. Anticholinergics and anti-emetics. c. Antidepressants and antibiotics. d. Immune suppressants and antidepressants. ✔Ans✔ a. Corticosteroids and immune suppressants. Which of the following statements about Crohn's disease and/or ulcerative colitis is true? Select one: a. Both Crohn's Disease and ulcerative colitis are characterized by patchy mucosal involvement and skip lesions. b. Crohn's Disease is limited to the colon and rectum. c. Ulcerative colitis is characterized by transmural involvement of the bowel wall. d. Ulcerative colitis begins in the rectal area and progresses backward toward the ileocecal valve. ✔Ans✔ d. Ulcerative colitis begins in the rectal area and progresses backward toward the ileocecal valve. You are consulted to see a patient who has just been diagnosed with low rectal cancer located distal to the dentate line. You will prepare teaching materials to cover content areas related to which of the following surgical procedures? Select one: a. Low anterior resection (LAR). b. Abdominoperineal resection (APR). c. Total proctocolectomy (TPC). d. Ileal Pouch Anal Anastomosis (IPAA or IAR). ✔Ans✔ b. Abdominoperineal resection (APR). Pneumatosis is a radiologic finding associated with: Select one: a. Hirschsprung's disease. b. Gut Malrotation. c. Diverticulitis. d. Necrotizing Enterocolitis (NEC). ✔Ans✔ d. Necrotizing Enterocolitis (NEC). When preparing a 35-year-old male for colon resection with a temporary ileostomy due to refractory Crohn's disease, he asks about sexual function after surgery. You explain that this procedure involves: Select one: a. Removal of the rectum only. b. Moderate incidence of premature ejaculation. c. Do not anticipate any sexual dysfunction. d. High incidence of erectile dysfunction. ✔Ans✔ c. Do not anticipate any sexual dysfunction. You receive a referral for a patient scheduled for an abdominoperineal resection. Prior to reviewing the chart and interviewing the patient you can anticipate his diagnosis to be: Select one: a. Transitional cell carcinoma of the bladder. b. Adenocarcinoma of the rectum. c. Familial Adenomatous polyposis. (FAP) d. Diverticulitis. ✔Ans✔ b. Adenocarcinoma of the rectum. Anorectal malformation in the neonate is also known as: Select one: a. Hirschsprung's disease. b. Imperforate anus. c. Turcot syndrome. d. Volvulus. ✔Ans✔ b. Imperforate anus. Which of the following types of stoma construction methods is NOT completely diverting? Select one: a. End stoma. b. Loop stoma. c. Separated double barrel stoma. d. Brooke ileostomy. ✔Ans✔ b. Loop stoma. A Hartmann's Procedure (Pouch) is constructed when the: Select one: a. Proximal edges of the rectal segment are over sewn and left in the pelvis following colon resection. b. Entire colon is removed, and an ileal pouch is constructed in the pelvis. c. A reservoir is constructed in the abdomen for small bowel disease. d. The cecal reservoir is constructed and effluent is emptied with a catheter. ✔Ans✔ a. Proximal edges of the rectal segment are over sewn and left in the pelvis following colon resection. Which of the following statements is true for the Kock continent ileostomy? Select one: a. It is the preferred surgical procedure for Crohn's Disease. b. Nipple valve of ileum proximal to the stoma is the continence mechanism. c. The preferred stoma site is in the left lower quadrant of the abdomen. d. It is a surgical procedure that is done more often than the IPAA (ileal pouch anal anastomosis). ✔Ans✔ b. Nipple valve of ileum proximal to the stoma is the continence mechanism. Based on what you know about absorption and digestion within the small bowel and colon, which of the following types of stomas would you expect to produce the most corrosive effluent? Select one: a. Descending colostomy. b. Ileostomy. c. Loop transverse colostomy. d. Sigmoid colostomy. ✔Ans✔ b. Ileostomy. A 21-year-old woman is on her 5th day on the orthopedic unit following a motor vehicle accident. She suddenly develops ischemic colitis from a blood clot in the inferior mesenteric artery. Which type of stoma will she most likely have following surgery? Select one: a. Ileostomy b. Jejunostomy c. Descending Colostomy d. Sigmoid Colostomy ✔Ans✔ a. Ileostomy During a preoperative consultation for EMERGENCY ostomy surgery, the two PRIMARY objectives for the WOC Nurse are stoma site selection and: Select one: a. Explanation of how to empty the pouch. b. Demonstration of ostomy equipment. c. Decrease patient's anxiety about the ostomy surgery. d. Identification of discharge plans. ✔Ans✔ c. Decrease patient's anxiety about the ostomy surgery. When selecting an abdominal stoma site, evidence-based practice states that the stoma should be located: Select one: a. lateral to the rectus muscle. b. above the beltline. c. on the apex of the infraumbilical bulge. d. near the umbilicus. ✔Ans✔ c. on the apex of the infraumbilical bulge. [Show More]

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