Exam (elaborations)
OSTOMY CARE QUESTIONS AND ANSWERS
- Course
- Institution
OSTOMY CARE QUESTIONS AND ANSWERS
[Show more]
Content preview
OSTOMY CARE QUESTIONS AND ANSWERSThe nurse is caring for a patient with an ostomy. The nurse notes that the ostomy is
putting out watery effluent. The nurse recognizes that this is indicative of which
location? - Answers- Ileal portion of the small intestine
The nurse is caring for a patient who has an ostomy. The nurse notices that the effluent
ranges from a thick liquid to a semi-formed stool. The nurse recognizes that this is
indicative of which location? - Answers- Transverse or ascending colon
The nurse is caring for a patient who had a colostomy placed 5 days earlier. The nurse
notes that the stoma is red and moist. Which action should the nurse take? - Answers-
Note the condition of the stoma in her notes.
In caring for a patient who had a fecal surgical diversion, which nursing intervention is
essential? - Answers- Place a pouch over the newly created stoma.
When planning care for a patient who has a colostomy, which intervention is important
for the nurse to perform when pouching the colostomy ? - Answers- Leave an intact
skin barrier in place for 3 to 7 days.
The nurse has removed the patient's old urostomy pouch and is attempting to measure
the stoma opening for placement of a new pouch. Which action should the nurse take
next? - Answers- Place rolled gauze at the stoma opening.
A patient who has a urostomy is being discharged to home. Which instruction will the
nurse to provide to the patient? - Answers- Shower without covering the pouch.
The nurse is caring for a patient who has a urinary diversion. She notices that the
patient has a temperature of 102° F and foul-smelling urine. What action should the
nurse take? - Answers- Notify the physician.
The nurse is preparing to catheterize a patient who has a urostomy and uses a two-
piece pouch system. The nurse should take which action? - Answers- Remove the
pouch and leave the barrier attached
The nurse is caring for a patient who will have surgery in the morning to have a
colostomy placed. The nurse is aware of the physical and emotional stresses that the
patient will experience. These include which of the following? (Select all that apply.) -
Answers- a.
Body image changes
b.
Fear of social rejection
c.
Sexual function and intimacy issues
d.
, Loss of independence
The opening created into the abdominal wall for fecal or urinary elimination is known as
a _______________. - Answers- stoma
The output from a urinary or fecal stoma is called the _______________. - Answers-
effluent
A ______________ is an opening in the large intestine or colon for elimination of fecal
material. - Answers- colostomy
When providing care for a patient with a colostomy or an ileostomy, the nurse
recognizes that which is an expected assessment finding? - Answers- A moist, reddish-
pink stoma
The nurse is caring for a preterm infant in the neonatal intensive care unit who has
multiple stomas. Given the uniqueness of infants, which action is essential for the nurse
to take? - Answers- Use a pouch that can accommodate increased amounts of flatus.
In caring for a patient who has a pouching for a noncontinent urinary diversion, which
nursing intervention is essential? - Answers- Empty the pouch when it is one-third to
one-half full.
When assessing the patient with a noncontinent urinary diversion, the nurse finds that
the urine has mucous shreds. Which action should the nurse take? - Answers- Note the
characteristics of the urine in her notes.
An opening that is in the ileal portion of the small intestine is an ____________. -
Answers- ileostomy
An ostomy that is created from a portion of the ileum to form a stoma through which
urine can exit the body is called a(n) _____________. - Answers- urostomy or ileal
conduit
A nurse is reinforcing teaching with a client who has colon cancer and is scheduled for a
procedure to remove their entire large intestine and rectum. The nurse should reinforce
with the client that they are scheduled for which of the following types of ostomy
procedure?
Cecostomy
Loop colostomy
Ileostomy
Descending colostomy - Answers- Ileostomy
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Greaterheights. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now