WEB WOC Ostomy Care Exam Solved 100% Correct

jejunostomy location - ANSWER-LUQ *frequently not marked by the WOC nurse jejunostomy disease and procedure - ANSWER-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 - ANSWER-*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 - ANSWER-*monitor for electrolyte imbalances and dehydration *size pouch correctly to prevent leakage *may need to change pouch every 2-3 days ileostomy location - ANSWER-RUQ ileostomy disease and procedure - ANSWER-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 - ANSWER-*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 - ANSWER-*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 - ANSWER-RUQ or LUQ