During the first routine pouch change after an ileal conduit has been created,
which of the following observations is considered normal? Right Ans - The
stoma is edematous and pink
Which of the following foods is known to cause considerable odor for the
patient with a urinary diversion? Right Ans - Fish
The primary rationale for using skin barrier paste is to: Right Ans - Fill or
"caulk" irregular surfaces at the base of the stoma
The patient who has a soft abdomen and a budded ileal conduit stoma will
require what characteristic in the skin barrier surface of the pouching system?
Right Ans - Firm surface to provide added support
The presence of mucus shreds in the urine after an Indiana pouch is: Right
Ans - Considered normal
Which of the following statements about ostomy equipment is correct?
Right Ans - A flexible skin barrier surface is usually indicated when the
abdomen is firm
A patient with a new loop ileostomy is on postop day 5. You are called to see
her first thing Monday morning as her pouching system leaked over the
weekend, requiring 3 pouch changes a day for 2 days. The nurses have already
tried adding a barrier ring. Her abdomen is still swollen and a little firm from
surgery but less than when you saw her Friday. You note the distal os is at
skin level. What is the next option? Right Ans - Use a flexible soft convex
pouching system
Stoma protrusion is an important assessment in ostomy management
because: Right Ans - A flush stoma usually requires convexity because
effulent is exiting the stoma at skin level
The patient is at greatest risk for dehydration and electrolyte inbalance is the
patient with a/an: Right Ans - Loop ileostomy and IPAA
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