Exam (elaborations)
WEB WOC Ostomy Care: Questions & Accurate Answers
WEB WOC Ostomy Care: Questions & Accurate Answers
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WEB WOC Ostomy Care: Questions & Accurate AnswersJejunostomy location Right Ans - LUQ
*frequently not marked by the WOC nurse
Jejunostomy disease and procedure Right Ans - 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 Right Ans - *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 Right Ans - *monitor for electrolyte imbalances
and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
Ileostomy location Right Ans - RUQ
Ileostomy disease and procedure Right Ans - 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 Right Ans - *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 Right Ans - *high risk for bowel obstruction-
instruct pt to chew food thoroughly and drink lots of water
*potential risk for vitamin B12 deficiency
Transverse colostomy location Right Ans - RUQ or LUQ
Transverse colostomy disease and procedure Right Ans - 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 Right Ans - *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 Right Ans - *waistline location can be
difficult to manage
Descending colostomy location Right Ans - LLQ
Descending colostomy disease and procedure Right Ans - colorectal cancer,
trauma, bowel perforation, ischemic bowel
Permanent end colostomy with rectum and anus removed, temporary or
permanent end colostomy with Hartmann's pouch (sewing shut top of rectum
with ability to reconnect to GI tract later)
Descending colostomy function and management Right Ans - *function may
not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
*odor and gas of concern due to higher amounts of bacteria
*may need colostomy irrigation routinely
descending colostomy complications Right Ans - *monitor, prevent, and
manage constipation
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