When should you drain an ostomy? when it is 1/3 full
What do you assess when draining an ostomy? -stoma with each change and report any discoloration -skin complications may include itching, burning, or pain
What are risk factors for skin complications with an ostomy? -obesity -poorly located or ...
NUR 336 Final Exam Questions and
Answers
When should you drain an ostomy? ✅when it is 1/3 full
What do you assess when draining an ostomy? ✅-stoma with each change and report
any discoloration
-skin complications may include itching, burning, or pain
What are risk factors for skin complications with an ostomy? ✅-obesity
-poorly located or constructed stoma
-stoma retraction
-hernia
End colostomy ✅-The damaged section of the bowel is removed and the working end
is brought through the abdomen to the skin surface
-When it is intended to be permanent, an end stoma is typically created
-A temporary colostomy may be performed to allow bowel rest and healing, such as a
tumor resection
-A common temporary involves leaving the distal end of the colon in place which is
overseen for closure to create a Hartmann's pouch
Loop colostomy ✅-A loop of the bowel is brought through the abdomen to the skin
surface and is temporarily supported by a plastic bridge and rod
-A transverse loop is typically created as an emergency procedure to relieve an
intestinal obstruction
-A communicating well remains between the proximal and distal bowel
-It has 2 openings through the one stoma
-The proximal end drains stool and the distal end drains mucus
-can be removed in 7 days
-typically temporary.
Double barrel colostomy ✅-Two separate stomas are created
-Both ends of the bowel are brought through the abdomen to the surface of the skin as
two separate sections
-Typically the distal colon is not removed but bypassed
-The proximal stoma, which is functional, diverts feces to the abdomen wall
-The distal stoma experts mucus
Colostomy output: Ascending colon ✅-right abdomen
- the output is typically liquid to semi liquid and is very irritating to surrounding skin
Colostomy output: Transverse colon ✅-mid abdomen
, -this location is used for temporary ostomy, with the stoma as a constructed loop
-Output is pasty.
Colostomy output: Descending colon ✅-left upper abdomen
-the output is semi formed because more water is absorbed while fecal material is in the
ascending transverse colon.
Colostomy output: Sigmoid colon ✅-left lower abdomen
-this is the location of permanent colostomy, for cancer in the rectum
-The output is formed
Ileostomy ✅-Surgical opening in the ileum to bypass the entire large intestine and
rectum
-Located in the right lower quad
-Output is stool
-Consistency of porridge or paste
-These clients are higher risk for fluid imbalance due to high initial output
Urine ostomy ✅-Urinary diversion that allows urine to exit the body after removal of a
diseased or damaged section of the urinary tract
-Ureters are attached to a ileal conduit and brought to the surface
-Urine comes out
-Client should maintain urine output of 30 mL per hour to prevent hydronephrosis or
kidney enlargement
Post op ostomy education ✅-The stoma should be shiny, moist, and red in color,
similar to the mucous membranes of the mouth
-The stoma can be round or oval, as well as protruding, flush with the skin, or retracted
-Exercise regularly
-Know how to cleanse and look for infection
-Signs of food blockage in ileostomy include swelling of stoma, no output for at least 6
hours, cramping, and pain
when do you use transparent film dressings? ✅stage 1 pressure injuries with minimal
drainage
When do you use hydrogel dressings? ✅clients who have a dry wound and minimal
exudate
When do you use alginate dressings? ✅-help establish homeostasis while providing a
moist environment for healing and absorption of exudate
-They do not adhere to the wound, so removal is unlikely to cause further bleeding
What is a con to dry gauze? ✅may cause further bleeding when removed
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