Bowel Elimination and Care Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Are ostomies temporary or permanent?

A

They can be both depending on the situation.
- Temporary: Created to allow the intestines to heal from surgery or disease
- Permanent: May be required when a disease affects the end part of the colon or rectum

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2
Q

During an ostomy bag change, position the patient so that there are no _____ occur along the line of the stoma.

A

skinfolds

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3
Q

To calculate, the amount of output in mL for an ostomy with liquid effluent (i.e. ileostomy or urostomy), what type of container should you use?

A

Graduated measuring container

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4
Q

Are all ostomy pouches drainable?

A

No. Drainable (open-ended) pouches that have either a clamp, press & seal, or velcro attachment. Closed (one-time use, disposable) pouches must be removed and disposed of once full.

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5
Q

It important to place a protective/moisture-proof pad to protect the patient and any linens prior to checking the ostomy bag. TRUE or FALSE.

A

TRUE. To prevent any mess.

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6
Q

If the stoma is purple-black in color what does it indicate?

A

Purple-black coloration indicates compromised circulation, and it requires immediate surgeon/physician notification.

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7
Q

When removing the ostomy bag and wafer from the pt’s skin, it is important to use a _____-based adhesive remover.

A

silicone.

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8
Q

How would you remove the ostomy bag and wafer? And in what direction?

A
  • With one hand, apply the silicone-based adhesive remover as you press the skin away from the wafer barrier with your other hand. - - Begin at the top and work downward.
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9
Q

What would you inspect the stoma and peristomal skin for?

A
  • Stoma size
  • Color changes (stoma should be red/pink)
  • Redness
  • Rash
  • Irritation
  • Excoriation
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10
Q

What would you use to cleanse the stoma and peristomal (surrounding skin) area?

A

Gently wash w/ a cleansing agent (pH of 5.5; designed to cleanse and moisturize the skin) and warm water

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11
Q

How can you measure the size of the stoma?

A
  • Standard stoma measuring guide
  • Reuse a previously cut stoma template
  • Measure the stoma from side to side to approx. the circumference
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12
Q

After removing the ostomy bag, cleansing the stoma and peristomal skin, what should you place over the stoma while you prepare the new bag?

A

Clean gauze 4 x 4

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13
Q

The opening of the wafer should be exactly the stoma’s circumference. TRUE or FALSE.

A

The wafer opening should be approx. 1/16 to 1/8-inch larger than the stoma’s circumference– to allow for stoma changes (size and shape) d/t to factors including weight gain/loss.

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14
Q

How do you warm the adhesive ring of an ostomy wafer?

A

Hold btwn the palms of your hands

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14
Q

What happens if the ostomy wafer opening is too big?

A

It can expose the skin to output (risk for skin breakdown)

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15
Q

What happens if the ostomy wafer opening is too small?

A

The wafter can rub against the stoma (stoma can be irritated)

16
Q

Prior to applying the new ostomy wafer and bag, what should you apply to the skin?

A

Ostomy skin care products per hospital protocol:
- Skin prep
- Skin barrier powder
- Skin barrier paste (brand Karaya)

17
Q

How should the ostomy bag be positioned?

A

The opening of the ostomy bag is pointed towards the pt’s feet

18
Q

Describe the stool consistency that you would expected from an ascending colostomy, transverse colostomy, descending colostomy and sigmoid colostomy.

A
  • Ascending: Liquid
  • Transverse: Loose to semi-formed
  • Descending and Sigmoid: near-normal
19
Q

Post-operatively how would the stool of a pt with a colostomy look like/progress?

A

Post-operatively, it will be liquid but will become more solid, depending on the area of the colostomy