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WEB WOC Ostomy Care Exam Study Guide.
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©FYNDLAY EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e WEB WOC Ostomy Care Exam Study Guide. Jejunostomy location - answerLUQ *frequently not marked by the WOC nurse jejunostomy disease and procedure - answerischemic bowel, crohn's, trauma, necrotizing enterocolitis diversion ...

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  • November 29, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • web woc ostomy care exam study guide

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©FYNDLAY EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.



WEB WOC Ostomy Care Exam Study
Guide.


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

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, ©FYNDLAY EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
*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

transverse colostomy disease and procedure - answer✔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 - answer✔*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 - answer✔*waistline location can be difficult to manage

descending colostomy location - answer✔LLQ

descending colostomy disease and procedure - answer✔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 - answer✔*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

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