WEB WOC OSTOMY CARE EXAM NEWEST 2024 WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS (DETAILED ANSWERS) ALREADY GRADED A+
100% GUARANTEED TO PASS CONCEPTS!!!
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
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
, descending colostomy complications - ANSWER-*monitor, prevent, and
manage constipation
*may cause erectile dysfunction
continent ileostomy (kock pouch) - ANSWER-total proctocolectomy performed
and abdominal ileal pouch is made. The continence mechanism is a nipple
valve constructed in the pouch by intussusception.
ileal pouch anal anastomosis (IPAA) - ANSWER-usually done in 1, 2, or 3 stages
the colon and most of the rectum are removed, but the anus remains intact, a
pouch is constructed from the ileum and anastomosed to the distal rectum, a
temporary loop ileostomy is created to divert stool while the anastomosis
heals, the ileostomy is taken down once the suture lines heal and normal
bowel function is restored
ileal/colon conduit location - ANSWER-ileal: RLQ
colon: LLQ
ileal/colon conduit disease and procedure - ANSWER-bladder cancer,
neurogenic bladder, refractory interstitial cystitis, pre-existing small bowel
disease indicates use of colon conduit instead
segment of small bowel is brought to the skin and anastomosed with the
ureters, sigmoid colon is used instead of small bowel in colon conduit
ileal/colon conduit function and management - ANSWER-*functions
immediately with clear or blood tinged urine
*mucous threads are normal as the conduit was made from bowel which
secretes mucous
