Module III Quiz

Question 1

Peristomal candidiasis: risks

Answer 1

Corticosteroids
Immunosuppressants
Antibiotics

Question 2

Prevents spontaneous fistula closure

Answer 2

Distal bowel obstruction

Question 3

Purpose of skin sealant under fistula pouch

Answer 3

Protect from mechanical injury (stripping)

Question 4

Preterm infant surface area to body weight ratio

Answer 4

Avoid use of skin solvents
More surface area to absorb chemicals in sealants, barrier paste, adhesives
Skin barrier wafers have 0 solvents or chemicals

Question 5

Primary intervention for treatment/prevention of pseudoverrucous lesions

Answer 5

Resize pouch to fit base of stoma and cover up lesions

Question 6

Silver nitrate and pseudoverrucous lesions

Answer 6

Painful

Unnecessary as lesions will resolve w/ removal of urine

Question 7

Complications causing mortality w. fistulas

Answer 7

Sepsis
Malnutrition
F/E imbalance

Question 8

Pt w/ isolated episodes of dusky stoma coloration

Answer 8

Infant
Crying = blood shunted away from bowel
Returns to red after crying stops

Question 9

Primary feature of EC fistula pouching system

Answer 9

Sizable surface for cutting

Fistulas in all shapes/sizes

Question 10

Colostomy irrigation w/ hernia

Answer 10

Discontinue irrigations if problematic or caustic

Question 11

Pseudoverrucous lesions: contributing factors

Answer 11

Due to chronic overexposure to moisture

ex: oversized pouch

Question 12

Risk factor for stomal stenosis

Answer 12

Necrosis

Question 13

Replacement of low-profile G tube

Answer 13

Measure length of stoma tract

Too small = necrosis, pain, tenderness

Question 14

Vinegar soaks used for:

Answer 14

Encrustations

30-50% vinegar solution when pouch removed

Question 15

Risks for stomal prolapse

Answer 15

Infant (high ABD pressure from crying)
Loop colostomy (limited securing of bowel to skin)

Question 16

Caput Medusae caused by:

Answer 16

Portal hypertension in alcoholic or liver disease pt

Question 17

Incarcerated bowel associated with:

Answer 17

Parastomal hernia
May contain loop of bowel in herniation = ischemia
s/s ischemia: ABD pain, n/v, change in stoma color

Question 18

Permanent ileostomy w/ ulcer producing fecal material

Answer 18

Crohn’s disease = fistula formation

Question 19

Criteria for selecting EC fistula pouch

Answer 19

Volume of effluent
Size of fistula
Odor
Need for access

Question 20

Black/flaccid stoma: interventions

Answer 20

Rub stoma to note surface bleeding

Prepare to examine stoma w/ glass tube and light

Question 21

Mucocutaneous separation of new stoma

Answer 21

Preoperative corticosteroid use
Poor healing 
Tension
Superficial infection
DM
Malnutrition
Stoma necrosis
Recurrence of disease

Question 22

Encrustations

Answer 22

Deposits of urinary crystals of stoma and peristomal skin

Question 23

G tube care

Answer 23

Stabilize tube

Question 24

Interventions to prevent G tube clog

Answer 24

Liquid meds only

Question 25

G tube balloon

Answer 25

Check volume weekly

Question 26

Leakage around Penrose drain

Answer 26

Apply ostomy pouch

Drainage is common

Question 27

First radiographic study for origin of EC fistula

Answer 27

Fistulagram = injecting dye into fistula and take X-rays

Question 28

Products to use around fistula

Answer 28

Skin barrier powder or wafer

Question 29

Endoscopic gastrostomy procedure

Answer 29

Use immediately after placement

Surgically placed requires recovery before use