WEB WOC OSTOMY CARE FINAL EXAM NEWEST
2024 ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
Terms in this set (87)
3 major surgical 1. colectomy without a stoma
procedures for colon and 2. low anterior resection with temporary stoma
rectal cancer 3. abdominoperineal resection with permanent stoma
removal of the distal colon and
rectum through both abdominal
and perineal approaches
abdominoperineal
*for low rectal tumors
resection
*creates permanent sigmoid or
descending colostomy
*wide resection done = risk for
sexual dysfunction
Malone antegrade continence enema (ACE) uses the
ACE procedure appendix and cecum to create a catheterizable stoma
to instill an antegrade enema to empty the colon.
become NPO, go to ER, once blockage is relieved,
complete bowel
increase volume of oral intake from clear liquids up to
obstruction management
solid slowly
complete bowel no output
obstruction s/s
, total proctocolectomy
performed and abdominal ileal
continent ileostomy (kock pouch is made. The continence
pouch) mechanism is a nipple valve
constructed in the pouch by
intussusception.
chronic inflammation of the intestinal tract
*Affects any portion of the GI tract
*Initially develops at terminal ileum, Cramping or
steady RLQ pain, fever, malaise, weight loss, bleeding
may be occult, extracolonic manifestations
*Transmural (affects ALL layers of bowel wall)
crohn's disease
perforation of the bowel or fistula) mucosal
inflammation and ulceration - skip areas a hallmark
*Complications include strictures, FISTULAS, and
abscess formation, bowel obstructions
*Not cured with surgery, but a remission may result.
Not generally a candidate for IPAA or other type of
continent diversion
descending colostomy *monitor, prevent, and manage constipation
complications *may cause erectile dysfunction
descending colostomy
permanent end colostomy with rectum and anus
disease and procedure
removed, temporary or permanent end colostomy
with Hartmann's pouch (sewing shut top of rectum
with ability to reconnect to GI tract later)
, *function may not begin for up to 5 days post-op
*initially gas, then liquid, then semi-formed to formed
descending colostomy
*odor and gas of concern due to higher amounts of
function and management
bacteria
*may need colostomy irrigation routinely
descending colostomy LLQ
location
Technique for constructing a continent colonic urinary
reservoir.
Detubularization of the intestine is a necessary
Detubularized
surgical technique to disrupt the peristalsis of the
intestine. This allows the intestine to become a
reservoir instead of propelling the contents
forward/out.
surgeries: resection of diseased bowel with colorectal
anastomosis (no stoma) or temporary diverting
ostomy and hartmann's pouch
(those that occur within 30 days of surgery)
early stoma complications *mucocutaneous separation
*stomal necrosis
*stomal retraction
enteroatmospheric fistula abnormal connection between the GI tract and the
(EAF) atmosphere (wound bed)
enterocutaneous fistula abnormal connection between the GI tract and the
(ECF) skin
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