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