Web Woc Ostomy Care 2023 Test Bank With 400+ Questions And Correct Answers (Verified Answers) | Already Graded A+

ileostomy complications {Ans: *high risk for bowel obstruction-instruct pt to chew food thoroughly and drink lots of water *potential risk for vitamin B12 deficiency}transverse colostomy function and management {Ans: *function begins within 48 hours *initially gas, then mushy or semi-formed *may have urge to poop with mucous from rectum *no effect on nutritional absorption}orthotopic neobladder function and management {Ans: *post-op similar to indiana pouch, will have Malecot catheter in place and removed once pt can empty bladder through urethra *will need pelvic flood muscle exercises *pt will need to perform valsalva while voiding *need to teach straight catheterization incase inability to empty bladder occurs}jejunostomy location {Ans: LUQ *frequently not marked by the WOC nurse}partial bowel obstruction s/s {Ans: watery output, abdominal distention, cramping, pain, stoma edema}transverse colostomy location {Ans: RUQ or LUQ}vesicostomy/ileovesicostomy/appendicovesicostomy complications {Ans: *UTIs *difficult to pouch given low location *high rates of wound infections *incontinence}How might a urinary diversion upset the acid-base balance mechanism? {Ans: Urinary diversions, specifically ileal conduits, may cause hyperchloremic metabolic acidosis with hypokalemia due to exposure of urine to the bowel mucosa used to create the conduit. The intestinal section continues its physiologic function to absorb