A 21-12 months-old woman is on her 5th day on the orthopedic unit following a motor
automobile accident. She develops ischemic colitis from a blood clot within the inferior
mesenteric artery. Which kind of stoma will she maximum probable have following surgical
operation?
Select one:
a. Ileostomy
b. Jejunostomy
c. Descending Colostomy
d. Sigmoid Colostomy - ANS-a. Ileostomy
A 28-year-old woman has a permanent ileostomy and also you word ulceration at 9 o'clock
within the peristomal vicinity 7 mm from the base of the stoma. The ulcer is producing fecal
cloth. Without knowing her history, what is this describing?
Select one:
a. Candidiasis because of steroids.
B. Familial adenomatous polyposis.
C. Peristomal pyoderma gangrenosum.
D. Enterocutaneous fistula - ANS-d. Enterocutaneous fistula
A 60-yr-vintage male is 6 weeks postop following a sigmoid colostomy for rectal cancer. During
a observe-up visit, he states that he has read about colostomy irrigation and is keen to start.
What must your NEXT step be?
Select one:
a. Ask the affected person if chemotherapy or radiation therapy is planned.
B. Set up an appointment to start coaching the irrigation technique as quickly as viable.
C. Instruct the affected person to ask again at his 6 months postop visit.
D. Ask him if he prefers the use of a cone tip or a catheter for the method. - ANS-a. Ask the
affected person if chemotherapy or radiation therapy is planned.
A bowel prep preoperatively for ostomy surgery is robotically applied to lower bacteria in the
bowel. The section of the bowel with the finest degree of micro organism is:
Select one:
a. Distal part of the colon.
B. Proximal part of the colon.
C. Distal part of the small bowel.
D. Proximal portion of the small bowel. - ANS-a. Distal part of the colon.
,A hassle of diverticular sickness that almost always requires surgical intervention.
Select one:
a. Intestinal inflammation.
B. Micro-perforation.
C. Diverticulum formation.
D. Bowel perforation. - ANS-d. Bowel perforation.
A fistula between the colon and pores and skin is called a/an:
Select one:
a. Colocutaneous fistula.
B. Colovesicle fistula.
C. Rectovaginal fistula.
D. Internal fistula. - ANS-a. Colocutaneous fistula.
A Hartmann's Procedure (Pouch) is constructed whilst the:
Select one:
a. Proximal edges of the rectal segment are over sewn and left in the pelvis following colon
resection.
B. Entire colon is removed, and an ileal pouch is built in the pelvis.
C. A reservoir is constructed in the stomach for small bowel disease.
D. The cecal reservoir is built and effluent is emptied with a catheter. - ANS-a. Proximal edges
of the rectal phase are over sewn and left within the pelvis following colon resection.
A affected person has a high output enterocutaneous fistula with a pouch seal that has no
leakage among adjustments (every 3-4 days). Removing the pouch skin barrier you note a
strong patch of raised erythematous pores and skin that matches the scale of the pores and
skin barrier. The affected person is complaining of itching. What is the most likely etiology of this
pores and skin condition?
Select one:
a. Sensitivity or Allergy to the skin barrier.
B. Mechanical irritation at some point of elimination of adhesive.
C. Irritant dermatitis.
D. Folliculitis. - ANS-a. Sensitivity or Allergy to the skin barrier.
A patient is having huge quantities of leakage around a Penrose drain with saturation of gauze
two times a shift. The health care professional asks you to evaluate and treat the red pores and
skin. The BEST motion through the WOC nurse is to:
Select one:
a. Irrigate the drain.
B. Apply an ostomy pouch with an integrated skin barrier.
C. Discontinue the drain.
D. Apply a barrier ointment across the drain. - ANS-b. Apply an ostomy pouch with an integrated
skin barrier.
, A patient with a low rectal cancer who had preoperative radiation observed by using a low
anterior resection with next stoma takedown is at chance for what difficulty over the long time:
Select one:
a. Bloody diarrhea and low rectal ache.
B. Urgency, clustering of stooling, frequency, incontinence.
C. Problems with scar formation and obstruction from the previous stoma web site.
D. Recurrence of the most cancers and want for added therapy. - ANS-b. Urgency, clustering of
stooling, frequency, incontinence.
An crucial characteristic of a urinary pouch throughout the IMMEDIATE postoperative duration
is:
Select one:
a. An opaque pouch movie.
B. A pouching adhesive surface that provides convexity.
C. A one-piece pouch with an attached skin barrier.
D. A considerable (reduce-to-in shape) stoma starting. - ANS-d. A great (cut-to-match) stoma
commencing.
An Ileal pouch anal anastomosis (IPAA) which is also referred to as the ileoanal reservoir is
indicated for which of the following disorder processes?
Select one:
a. Irritable bowel syndrome and Crohn's Disease.
B. Colorectal cancer and chronic ulcerative colitis.
C. Crohn's Disease and persistent ulcerative colitis.
D. Ulcerative colitis and familial adenomatous polyposis. - ANS-d. Ulcerative colitis and familial
adenomatous polyposis.
An important fact to teach nurses who care for a affected person with a gastrostomy tube is to:
Select one:
a. Stabilize the tube.
B. Change the tube each 2 weeks.
C. Flush the tube day by day with saline.
D. Flush the tube daily with water. - ANS-a. Stabilize the tube.
An incarcerated bowel is an emergent complication related to:
Select one:
a. Mucocutaneous separation.
B. Stomal stenosis.
C. Parastomal hernia.
D. Peristomal pyoderma granulosum. - ANS-c. Parastomal hernia.
Anorectal malformation in the neonate is likewise called:
Select one:
a. Hirschsprung's ailment.
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