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Ostomy Care Exam 3 Questions And 100% Correct Answers
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Ostomy Care Exam 3 Questions And 100%Correct Answers
What color should a stoma be? -Answer The stoma should be shiny, wet and red in color
like the mucous membranes of the mouth.
What should a stoma look like -Answer A stoma may be round, oval or irregular in shape
and protruding, flush with the skin or retracted.
What are the three main types of ostomy surgery -Answer colostomy
ileostomy
urostomy
A colostomy is made from the end of the large intestine to redirect waste from the
digestive system. Three types of colostomies may be made from the GI tract: - Answer
End colostomy
loop colostomy
double barrel colostomy
a loop of the bowel is brought through the abdomen to the skin surface and temporarily
supported by a plastic bridge or rod. A transverse loop colostomy is often done as an
emergency operation to decompress an intestinal obstruction or perforation. A
communicating wall remains between the proximal and the distal bowel. It has two
openings through the one stoma-the proximal end drains stool while the distal portion
drains mucus. The bridge can be removed in 7 to 10 days. Transverse loop colostomies
are usually temporary. - Answer Loop colostomy
the injured part of intestine is resected, and the active end is brought out onto the skin
surface via the abdomen. In those colostomy situations when it will be permanent, an
end stoma is performed normally. A temporary colostomy can be performed to allow the
, bowel to rest or to heal, such as following tumor resection. A common temporary
colostomy surgery leaves the distal portion of the colon in place, oversewing for
closure, thus creating a Hartmann's pouch. Anastomosis of the severed portions of the
colon may be delayed for various reasons including bowel inflammation or tumor
location. - Answer End colostomy
Two separate stomas are created. Both ends of the bowel are brought through the
abdomen to the skin surface as two separate sections. Usually the distal colon is not
removed but bypassed The proximal stoma, functional, diverts faeces to the abdominal
wall. The distal stoma or mucous fistula expels mucus from the distal colon - Answer
Double barrel colostomy
The output is usually liquid to semi-liquid and is very irritating to the surrounding skin. -
Answer Ascending colon (right abdomen)
This site is used for a temporary ostomy. The stoma is created as a loop. Output is liquid
to semi-formed. - Answer Transverse colon (mid-abdomen).
The output is semi-formed because more water is absorbed while fecal material is in the
ascending and transverse colon. - Answer Descending colon (left upper abdomen).
This is the site for a permanent colostomy, especially for cancer of the rectum. The
stoma is usually located on the lower left quadrant of the abdomen, and the output is
formed. - Answer Sigmoid colon (left lower abdomen).
is a surgical opening created in the ileum to bypass the entire large intestine. Total
proctocolectomy A surgical treatment for colon cancer and ulcerative colitis, total
proctocolectomy involves removal of the entire colon, rectum, and anus, with closure of
the anus, thereby creating the need for diversion of stool. In a total proctocolectomy,
the terminal ileum is brought out through the abdominal wall, thus creating a permanent
ileostomy. The patient has no voluntary bowel movement with this type of ileostomy
surgery. The stoma of an ileostomy is usually located in the right lower quadrant.
-Answer Illeosotmy
is a form of urinary diversion that enables urine to leave the body when diseased or
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