Ostomy care Quiz

Explanation
A colostomy is a surgical procedure where a stoma is created in the colon to divert the flow of waste material from the body. Therefore, the correct answer is the colon. The ileum and jejunum are parts of the small intestine, not the bowel.

Explanation
Stomahesive paste is a type of adhesive paste that is commonly used in medical settings, particularly for individuals with stomas. It is applied around the stoma to create a seal and protect the skin from irritation caused by bodily fluids. This paste acts as a caulking or filler, filling in any gaps or uneven surfaces to ensure a secure and comfortable fit for the stoma appliance. Therefore, the correct answer is caulking or filler.

Explanation
The stoma and surrounding skin should be cleaned to maintain good hygiene and prevent infection. Cleaning the stoma helps to remove any debris or secretions that may accumulate, while cleaning the surrounding skin helps to prevent irritation and breakdown. Regular cleaning of the stoma and surrounding skin is an important part of stoma care and should be done as part of a daily routine.

Explanation
The statement "All ostomies are permanent" is incorrect. An ostomy is a surgical procedure that involves creating an opening in the body to divert the flow of waste or fluids. While some ostomies may be permanent, not all of them are. Temporary ostomies can be created to allow the body to heal after surgery or to give the intestines time to rest. These temporary ostomies can be reversed in a subsequent surgery. Therefore, it is not true that all ostomies are permanent.

Explanation
The given statement is false. The ileal conduit is not created using a portion of the ileum to allow stool to pass through. Instead, it is a surgical procedure in which a small piece of the intestine is used to create a stoma on the abdominal wall. This stoma is then connected to a urostomy bag, allowing urine to be collected externally.

Explanation
Ivory soap is recommended for cleaning the skin around the stoma because it is a mild and gentle soap that does not contain harsh chemicals or fragrances. This is important because the skin around the stoma can be sensitive and easily irritated. Using a gentle soap like Ivory helps to prevent irritation and maintain the overall health of the skin.

Explanation
After assessing the stoma and peristomal skin, the nurse needs to further assess the abdomen for any signs of distention. This is important because abdominal distention can indicate complications such as bowel obstruction or ileus. Additionally, the nurse should also check the surgical incision for any signs of bleeding, dehiscence, or other abnormalities. This is crucial in monitoring the healing process and identifying any potential complications. Therefore, it is true that it is important for the nurse to assess the abdomen for distention and surgical incision abnormalities.

Explanation
An ostomy pouch cannot be used as many times as you want because it needs to be emptied and replaced regularly to maintain hygiene and prevent leakage. The pouch collects waste from a stoma, which is a surgically created opening in the abdomen, and it needs to be emptied when it becomes full. Additionally, the adhesive on the pouch may lose its effectiveness over time, requiring the pouch to be replaced. Therefore, it is not true that an ostomy pouch can be used indefinitely.

Explanation
An ostomy pouch is not called an artificial opening. An ostomy pouch is a medical device that is used to collect waste from a surgically created opening in the body, such as the abdomen or the intestines. It is not the opening itself, but rather the bag that is attached to the opening to collect waste. Therefore, the statement "An ostomy pouch is also called an artificial opening" is false.

Explanation
When someone has read denuded skin around the stoma, the correct order of products to treat the skin is Stomahesive powder and No Sting Skin Barrier Spray. The Stomahesive powder helps to absorb moisture and protect the skin, while the No Sting Skin Barrier Spray forms a protective barrier on the skin to prevent further irritation. Using these products in this order can help soothe and heal the denuded skin around the stoma.