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Exam (elaborations)

WEB WOC Ostomy Care Questions and Correct Answer

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  • WEB WOC Ostomy Care

jejunostomy location ~: LUQ *frequently not marked by the WOC nurse jejunostomy disease and procedure ~: ischemic bowel, crohn's, trauma, necrotizing enterocolitis diversion of small bowel at jejunum, with or without colectomy, with or without small bowel resection, loop or end stoma jejuno...

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  • August 25, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WEB WOC Ostomy Care
  • WEB WOC Ostomy Care
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Apluss
Elscores 8/18/2024 6:16:34 PM
WEB WOC Ostomy Care Questions
and Correct Answer

jejunostomy location

~: LUQ
*frequently not marked by the WOC nurse




jejunostomy disease and procedure

~: ischemic bowel, crohn's, trauma, necrotizing enterocolitis




diversion of small bowel at jejunum, with or without colectomy, with or without small bowel

resection, loop or end stoma




jejunostomy function and management

~: *function begins in 24-48 hours
*initially gas, then watery clear/green output (fluid and digestive enzymes)

*output up to 2400ml/day

*empty pouch when 1/3 to 1/2 full




jejunostomy complications

~: *monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage

, Elscores 8/18/2024 6:16:34 PM
*may need to change pouch every 2-3 days




ileostomy location

~: RUQ




ileostomy disease and procedure

~: crohn's, ulcerative colitis, familial adenomatous polyposis, trauma, necrotizing enterocolitis,
cancer, ischemic bowel




total proctocolectomy with end ileostomy, total proctocolectomy with continent ileostomy,

temporary ileostomy, temporary loop ileostomy for ileal pouch-anal anastomosis




ileostomy function and management

~: *function begins in 24-48 hours
*initially gas, then liquid output for several days, then becomes mushy

*output of 500-600 ml/day (higher output the higher up in the ileum stoma is)

*empty pouch when 1/3 to 1/2 full

*protect peristomal skin

*watch for fluid and electrolyte imbalance




ileostomy complications

~: *high risk for bowel obstruction-instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency

, Elscores 8/18/2024 6:16:34 PM

transverse colostomy location

~: RUQ or LUQ




transverse colostomy disease and procedure

~: diverticulitis, colon cancer, crohn's, perforated bowel, congenital disease (Hirschprung's)




diversion of large bowel at the transverse colon, with or without colectomy, usually

temporary loop stoma




transverse colostomy function and management

~: *function begins within 48 hours
*initially gas, then mushy or semi-formed

*may have urge to poop with mucous from rectum

*no effect on nutritional absorption




transverse colostomy complications

~: *waistline location can be difficult to manage




descending colostomy location

~: LLQ




descending colostomy disease and procedure

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