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MS III-Ostomy
Chapter 26 Definitions/Workbook
| Question | Answer |
|---|---|
| Anastomosis | Communication or connection between two organs or parts of organs |
| Ostomy | Surgical procedure that creates an opening into a body structure |
| Stenosis of ostomy | Narrowing of the abdominal opening around the base of the stoma. If severe, blocks the passage of feces |
| Nephrostomy | Surgically created opening in the kidney to drain urine |
| Ileostomy | Surgically created opening in the ileum |
| Colostomy | Surgically created opening in the colon |
| Prolapse | Protrudes out farther out than usual |
| Stoma | Opening created to drain contents of an organ |
| Ureterostomy | Surgically created opening in the ureter |
| Vesicostomy | Surgically created opening in the urinary bladder |
| Continent | Capable of controlling natural impulses; in relation to an ostomy, able to retain feces or urine |
| Ostomate | A person who has an ostomy |
| Hydronephrosis | Kidney becomes swollen with urine. Can lead to serioud kidney damage |
| Following ileostomy surgery, the stoma is inspected for bleeding and ______ | Color |
| What color would the stoma be if the circulation is poor? | Very pale, bluish, or black |
| Following ileostomy surgery, what should you examine when checking the base of the stoma? | Purulent drainage, redness, skin breakdown |
| If the color of the stoma is pale or blue following ileostomy surgery, what should the nurse do? | Notify the physician |
| What does a small amount of bleeding around the base of a new stoma indicate? | Adequate blood supply |
| If edema occurs after the first week postoperatively, this most likely indicates: | Improperly fitting collection device |
| When does ileostomy drainage occur after surgery? | 24-48 hours |
| Which manifestation indicates mental status changes in the postoperative ileostomy patinet indicating electrolyte imbalances? | Confusion/Anxiety |
| Postoperative ileostomy patients may experience electrolyte imbalances due to: | passage of liquid stool, NG suction |
| Which foods should patients with continent ileostomies avoid initially | Coffee, berries, nuts, fresh fruit, alcohol, skins, seeds, pineapple, milk |
| What are two main long-term complication of colostomies? | Prolapse and stenosis |
| What are factors that contribute to a prolapsed stoma in a colostomy? | Increased abd. pressure, coughing/sneezing, poorly attached stoma, abd. opening that is too large |
| What are two consequences of urinary tract infections following ureterostomy? | Stenosis, hydronephrosis |
| What is the treatment for yeast infections around the ureterostomy stoma? | Nystatin |
| If odor is a problem with ureterostomy, the puch can be soaked for 20-30 minutes in: | Vinegar water |
| The loss of biocarbonate in ileostomy drainage can result in: | Metabolic acidosis |
| After bowel resection for the ileal conduit procedure, you should expect: | Temporary ileus (absence of bowel activity) |
| In which procedure would the nurse expect to find mucus in the drainage? | Ileal conduit |
| The kock pouch is made with a section of: | Ileum |
| Which foods tend to produce thicker stools? | Pasta and boiled rice |
| Why is a NG tube placed in patients with bowel obstruction? | Decompress the bowel |
| What is a complication of colostomy irrigation? | Perforated bowel |
| The reason Flagyl is given to patients with ileoanal resevoir is that it treats: | Inflammation |
| What is a sign of bowel obstruction? | Abd. distention |
| Which group has the highest rate of colon and rectal cancers, which are commonly treated with ostomies? | African American |
| Which type of patient with a colostomy should be given a two-piece appliance that allows frequent pouch changes without skin trauma? | Muslim |
| In the patient with a colostomy, how often should you check the puch to detect leakage? | Hourly |
Created by:
Tarian1023
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