WEB WOC Ostomy Care 2023 TEST BANK WITH 400 QUESTIONS AND CORRECT ANSWERS VERIFIED ANSWERS ALREADY GRADED A
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Course
NU1426
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NU1426
WEB WOC Ostomy Care 2023 TEST BANK WITH 400+ QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+
jejunostomy location
jejunostomy disease and procedure
jejunostomy function and management
jejunostomy complications
ileostomy location
ileostomy disease and procedure
ileostomy ...
diversion of small bowel at jejunum, with or without colectomy, with or without small
bowel resection, loop or end stoma
3). Jejunostomy function and management
Ans: *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
4). Jejunostomy complications
Ans: *monitor for electrolyte imbalances and dehydration
*size pouch correctly to prevent leakage
*may need to change pouch every 2-3 days
, total proctocolectomy with end ileostomy, total proctocolectomy with continent ileostomy,
temporary ileostomy, temporary loop ileostomy for ileal pouch-anal anastomosis
7). Ileostomy function and management
Ans: *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
8). Ileostomy complications
Ans: *high risk for bowel obstruction-instruct pt to chew food thoroughly and drink lots
of water
*potential risk for vitamin B12 deficiency
diversion of large bowel at the transverse colon, with or without colectomy, usually
temporary loop stoma
11). Transverse colostomy function and management
Ans: *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
12). Transverse colostomy complications
Ans: *waistline location can be difficult to manage
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)
15). Descending colostomy function and management
Ans: *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
16). Descending colostomy complications
Ans: *monitor, prevent, and manage constipation
*may cause erectile dysfunction
17). Continent ileostomy (kock pouch)
Ans: total proctocolectomy performed and abdominal ileal pouch is made. The
continence mechanism is a nipple valve constructed in the pouch by intussusception.
18). Ileal pouch anal anastomosis (ipaa)
Ans: 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
19). Ileal/colon conduit location
Ans: ileal: RLQ
colon: LLQ
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