Caring for the Ostomy Patient Test #9218

Caring for the Ostomy Patient
4 Contact Hours • Course #9218

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	Answer each of the following questions (there is only one correct answer to each question).
	1	The esophagus is a long muscular tube that extends:
		A. 18 inches in length
		B. 24 centimeters in length
		C. one foot in length
		D. 24 inches in length
	2	The first sphincter of the stomach is the:
		A. pyloric
		B. cardiac
		C. sphincter of Oddi
		D. oblique
	3	The three main parts of the small intestine are the duodenum, the jejunum and the:
		A. appendix
		B. mecum
		C. descending
		D. ileum
	4	The liver performs all the following functions except:
		A. synthesis of plasma proteins
		B. synthesis of vitamins
		C. synthesis of red blood cells
		D. removal of ammonia from the blood stream
	5	The three types of palpation used in the assessment of the GI system are light, deep and:
		A. rebound
		B. percussion
		C. ballottement
		D. rotating
	6	Which of the following is a reason for receiving an ostomy?
		A. colon cancer
		B. kidney failure
		C. incontinence
		D. laziness
	7	In the patient with a double barrel colostomy, one stoma is for stool and the other is for:
		A. backup in case the other one fails
		B. irrigation
		C. a mucus fistula
		D. none of above
	8	Another name for a loop colostomy is a(n):
		A. emergent colostomy
		B. temporary colostomy
		C. pouching colostomy
		D. single stoma colostomy
	9	A patient has just returned to your unit following a colostomy placement. Upon performing your initial assessment you notice the stoma is looking somewhat purple. Your first action should be to:
		A. turn the lights on brighter to get a better look
		B. check the patient's vital signs
		C. change the pouching system
		D. notify the physician
	10	The most common causes of mechanical breakdown of the peristomal skin include all the following except:
		A. using alcohol on the peristomal skin
		B. removing the pouching system too frequently
		C. using adhesive solvents
		D. both b and c
	11	Treatment for mechanical skin breakdown includes all the following except:
		A. teaching the patient not to change his appliance with every bowel movement
		B. using a skin sealant with alcohol on the affected skin
		C. applying stoma powder to the affected area
		D. ensuring the peristomal skin is dry
	12	The main reason for chemical breakdown of the peristomal skin is
		A. not treating mechanical skin breakdown
		B. irritation from the presence of stool on the skin
		C. a fungal infection that was left untreated
		D. a bacterial infection
	13	In treating chemical breakdown it is important to:
		A. evaluate the pouching system and adjust it to prevent leakage of stool
		B. clean the peristomal skin with soap and water
		C. keep the peristomal area clean and dry, using stoma powder if needed
		D. all of the above
	14	According to the text, a peristomal skin rash may result from:
		A. an allergic reaction to the stool
		B. an allergic reaction to an ostomy product
		C. a fungus
		D. b and c
	15	The initial postoperative diet for the new ostomy patient will likely be:
		A. a low fiber diet
		B. a high fiber diet
		C. a bland diet
		D. a low fiber bland diet
	16	Foods that may cause gas in the ostomy patient include all the following except:
		A. broccoli
		B. cabbage
		C. yogurt
		D. sourdough bread
	17	Foods that may cause odor in the ostomy patient include:
		A. eggs
		B. cranberry juice
		C. garlic
		D. a and c
	18	The foods that are good for the ostomy patient with diarrhea include all of the following except:
		A. bananas
		B. applesauce
		C. prunes
		D. tapioca
	19	Complications of ostomy to the male sexual reproductive system may include:
		A. impotence
		B. orgasmic incompetence
		C. sterility
		D. all the above
	20	The problems to the female reproductive system include:
		A. decreased lubrication
		B. orgasmic incompetence
		C. sterility
		D. all the above
	21	In discussing sexual concerns with ostomy patients and their partners the nurse should:
		A. let the patient vent about their feelings
		B. inform the patient that sexual activity may damage the ostomy
		C. not get involved because it's none of the nurse's business
		D. both a and b
	22	Which of the following may make sexual activity more comfortable for the ostomate?
		A. emptying the pouch before sexual activity
		B. encouraging the ostomate's partner not to look at the ostomy
		C. making sure that the wafer has a good seal
		D. both a and c
	23	In giving psychological support for the new ostomy patient, all of the following interventions are appropriate except:
		A. letting the patient vent his feelings
		B. remaining empathetic
		C. training the patient to take care of his ostomy immediately after surgery
		D. getting a consult for counseling services if the patient's reaction is too severe
	24	United Ostomy Association of America is a support group that visits and speaks to:
		A. new ostomy patients
		B. new nursing students
		C. surgeons
		D. all of the above
	25	Possible nursing diagnoses for the ostomy patient include:
		A. Potential for Alteration in Body Image
		B. Hopelessness
		C. Alteration in Thought Process
		D. Potential for Altered Circulation
	26	All of the following are interventions for Potential for Infection except:
		A. monitoring temperature
		B. monitoring H&H
		C. observing wound for redness, tenderness or swelling
		D. using aseptic technique whenever applicable
	27	Which of the following interventions may be appropriate for Alteration in Skin Integrity for peristomal skin breakdown?
		A. assisting the patient to select a pouching system that will work for that patient and get a good seal
		B. teaching the patient about good peristomal skin care
		C. treating any peristomal skin redness as soon as possible
		D. all of the above
	28	For the ileoanal reservoir to be successful the patient must be willing to:
		A. do the work needed to achieve success
		B. let others do the care for him
		C. irrigate the stoma daily
		D. both a and c
	29	Common problems with an ileoanal reservoir include:
		A. pouchitis
		B. cramping
		C. perineal itching
		D. flatus
	30	The person who is best able to answer questions and deal with problems related to an ostomy is the patient's:
		A. physician
		B. enteral stomal therapist
		C. peristomal therapist
		D. both a and b
	Remember to click "Submit" ONCE and please be patient while your answers are checked and the results are displayed. You will then be returned to this page to complete the required Evaluation. Thank you for choosing the National Center!

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