Nursing NAWCO-OMS Questions & Answers

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Nursing


NAWCO-OMS


NAWCO Ostomy Management Specialist


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Question: 712


A patient with significant weight changes post-ostomy surgery is struggling with pouch fit. What is the most appropriate recommendation?


  1. Measure the stoma size frequently and adjust the pouch accordingly

    assure them that weight changes do not affect pouching commend they stop any weight changes immediately


    er: A


    nation: Regularly measuring the stoma size and adjusting the pouch accordingly is crucial to er fit and prevent leaks, especially with significant weight changes.


    ion: 713


    ent with a new transverse colostomy expresses concerns about odor control. What is the mos ve measure to manage this issue?


    ng a pouching system with an odor control filter miting protein intake

    reasing fiber intake

    plying a deodorizing spray er: A

    nation: Using a pouching system with an odor control filter is the most effective measure for ing odor associated with colostomies, providing an ongoing solution rather than temporary f


    ion: 714

    Use a larger pouching system regardless of fit

  2. Re

  3. Re


Answ


Expla ensure

a prop


Quest


A pati t

effecti


  1. Usi

  2. Li

  3. Inc

  4. Ap

Answ Expla

manag ixes.


Quest


A patient asks about the best way to care for their peristomal skin to prevent complications. Which of the following practices should you emphasize?


  1. Keep the area dry at all times

  2. Use alcohol-based cleansers for cleaning

  3. Apply a barrier cream before pouch application

  4. Change the pouch only when it leaks Answer: C

Explanation: Applying a barrier cream is essential to protect the peristomal skin from irritation and leakage, thereby preventing complications.


Question: 715


In managing a patient with a neobladder, which complication is most important to monitor in the early postoperative phase?


  1. Infection

  2. Neobladder capacity

    nary incontinence er: A

    nation: Infection is a significant risk in the early postoperative phase, requiring vigilant moni ompt intervention if symptoms arise.


    ion: 716


    ent with acute diverticulitis has experienced recurrent episodes and is now considering surgi ention. What is the recommended surgical procedure for a patient with recurrent diverticulitis


    pendectomy ula repair

    onic resection with anastomosis moid colectomy


    er: D


    nation: Sigmoid colectomy is recommended for patients with recurrent diverticulitis to preve episodes and complications.


    ion: 717


    the most common cause of peristomal dermatitis in ostomy patients?

    Electrolyte imbalance

  3. Uri Answ

Expla toring

and pr


Quest


A pati cal

interv ?


  1. Ap

  2. Fist

  3. Col

  4. Sig Answ

Expla nt

further Quest What is

  1. Allergic reaction to the adhesive

  2. Stoma size changes

  3. Infection

  4. Excessive moisture Answer: D

Explanation: Excessive moisture from output can lead to skin breakdown and dermatitis, making it the most common cause of peristomal skin issues.


ion: 718


iscussing modifications to lifestyle post-ostomy, which of the following is a critical point to regarding physical activity?


oid all forms of exercise for six months.

y walking is recommended post-operatively. enuous activities can be resumed after one week.

ht exercise is encouraged immediately after surgery. er: D

nation: Light exercise is encouraged soon after surgery to promote healing and improve over eing, but patients should avoid strenuous activities initially.


Quest


When d address


  1. Av

  2. Onl

  3. Str

  4. Lig Answ

Expla all

well-b

Question: 719


Which of the following types of skin barriers for ostomy management provides flexibility and conforms well to irregular skin surfaces?


  1. Flexible skin barriers

  2. Rigid skin barriers


    onvex skin barriers wer: A

    anation: Flexible skin barriers provide flexibility and conform well to ular skin surfaces. They are designed to move with the body and prov ortable fit. Rigid skin barriers, on the other hand, are more rigid and m uitable for individuals with well-formed stomas or to provide addition ort. Flat skin barriers have a flat surface and are suitable for individua

    lat or flush stomas. Convex skin barriers have a convex shape and ar gned to help manage stomas that are retracted or flush with the skin ce.


    stion: 720


    ch healthcare professional plays a role in providing support and educat tients undergoing fecal and urinary diversion surgery?

    Flat skin barriers

  3. C

Ans Expl

irreg ide a

comf ay

be s al

supp ls

with f e

desi surfa


Que


Whi ion

to pa


  1. Surgeon

  2. Pharmacist

  3. Physical therapist

  4. Radiologist

Explanation: The surgeon has a primary role in the surgical management of fecal and urinary diversion. They are responsible for performing the surgery and providing post-operative care, including support and education to the patients.


Question: 721



eostomy lavage edication administration ouching fistulas olostomy irrigation


wer: A


anation: In the case of food blockage in an ileostomy, ileostomy lavag mmended treatment. It involves the gentle instillation of warm water i toma to help dislodge the blockage and facilitate its passage.


stion: 722


ch type of dermatitis is caused by exposure to irritants such as stool, u hesive products?

What is the recommended treatment for food blockage in an ileostomy?


  1. Il

  2. M

  3. P

  4. C


Ans


Expl e is a

reco nto

the s


Que


Whi rine,

or ad


  1. Peristomal candidiasis

  2. Allergic contact dermatitis

  3. Psoriasis

  4. Irritant contact dermatitis

Explanation: Irritant contact dermatitis is a common skin condition that occurs when the skin comes into direct contact with irritant substances. In the context of ostomy management, it can be caused by exposure to stool, urine, or adhesive products used to secure the pouching system.


Question: 723



opical antifungal creams ral antibiotics

urgical intervention mmunosuppressive therapy


wer: A


anation: Peristomal candidiasis is a fungal infection that affects the sk nd the stoma. The recommended treatment is the use of topical antifu ms or ointments to control the infection.


stion: 724


ch of the following is a characteristic of pyoderma gangrenosum in th ext of ostomy management?


seudoverrucous lesions

What is the recommended treatment for peristomal candidiasis?


  1. T

  2. O

  3. S

  4. I


Ans


Expl in

arou ngal

crea


Que


Whi e

cont


  1. P

  2. Folliculitis

  3. Suture granulomas

  4. Skin trauma Answer: A

Explanation: Pyoderma gangrenosum is a rare inflammatory skin disease that

can occur in the peristomal area. It is characterized by the development of pseudoverrucous lesions, which are raised, wart-like growths on the skin.


Question: 725



seudoverrucous lesions yoderma gangrenosum uture granulomas soriasis


wer: B


anation: Pyoderma gangrenosum is a non-infectious inflammatory ski ition that can occur around the stoma and is often associated with rlying inflammatory bowel disease. It is characterized by the develop inful, necrotic ulcers with undermined borders. Pseudoverrucous lesio to wart-like growths that can occur around the stoma. Suture granulo nflammatory reactions that can occur in response to sutures used durin ery. Psoriasis is a chronic skin condition characterized by the develop d, scaly patches on the skin.


stion: 726

Which of the following is a non-infectious inflammatory skin condition that can occur around the stoma and is often associated with underlying inflammatory bowel disease?


  1. P

  2. P

  3. S

  4. P


Ans


Expl n

cond

unde ment

of pa ns

refer mas

are i g

surg ment

of re


Que


Which type of skin barrier is recommended for irregular or uneven peristomal areas?


  1. Flat skin barrier

  2. Convex skin barrier

Answer: B


Explanation: A convex skin barrier is recommended for irregular or uneven peristomal areas. It helps create a secure seal around the stoma, preventing leakage and protecting the surrounding skin.


stion: 727


ch of the following is a common complication associated with peristo a?


eristomal candidiasis olliculitis

uture granulomas eristomal fistula


wer: D


anation: Peristomal hernia refers to the protrusion of an organ or tissu ugh the abdominal wall around the stoma. It can lead to the formation tomal fistula, which is an abnormal connection between the stoma an cent organs or tissues.


stion: 728

Que


Whi mal

herni


  1. P

  2. F

  3. S

  4. P


Ans


Expl e

thro of a

peris d

adja


Que


Which type of ostomy system is designed as a single unit combining the skin barrier and pouch?


  1. One-piece system

  2. Two-piece system

Answer: A


Explanation: A one-piece system is an ostomy system that combines the skin barrier and pouch into a single unit. It is convenient and easy to use, as the entire system is replaced when necessary.


stion: 729


ch of the following is a type of peristomal complication characterized rowth of abnormal tissue that resembles a wart or verruca?


eristomal hernia eristomal fistula seudoverrucous lesions yoderma gangrenosum


wer: C


anation: Pseudoverrucous lesions are a type of peristomal complicatio acterized by the growth of abnormal tissue that resembles a wart or ve can occur around the stoma and may require treatment to prevent fur plications. Peristomal hernia refers to the protrusion of abdominal con ugh a weak area in the abdominal wall around the stoma. Peristomal fi abnormal connection between the stoma and adjacent organs or tissu

Que


Whi by

the g


  1. P

  2. P

  3. P

  4. P


Ans


Expl n

char rruca.

They ther

com tents

thro stula

is an es.

Pyoderma gangrenosum is a non-infectious inflammatory skin condition characterized by the development of painful, necrotic ulcers.


Question: 730

  1. Stoma site marking

  2. Colostomy irrigation

  3. Quality of life


    anation: The psychosocial effects of fecal and urinary diversion surge e influenced by various factors, including the individual's quality of l djustment to living with a stoma can have a significant impact on a on's psychological well-being and overall satisfaction with life.


    stion: 731


    ch complication is characterized by the narrowing or constriction of th a opening?


    eristomal hernia oma prolapse oma necrosis toma stenosis


    wer: D

    Nasogastric tube management Answer: C

Expl ry

can b ife.

The a pers


Que


Whi e

stom


  1. P

  2. St

  3. St

  4. S


Ans


Explanation: Stoma stenosis refers to the narrowing or constriction of the stoma opening, making it difficult for effluent to pass through. It can be caused by various factors, including tissue inflammation or scarring.


Question: 732

  1. Stoma cap

  2. Skin barrier sealant

  3. Stoma paste


    anation: Ostomy belts are used to secure the pouching system and pro ional support and protection. They can help prevent accidental detach ovement of the pouching system, especially during physical activities. ma caps are small, lightweight pouches used for temporary use when th pouching system is not needed. Skin barrier sealants and stoma paste to fill in gaps or crevices between the skin barrier and the skin surfac

    reate a more secure seal.


    stion: 733


    ch of the following ostomy systems is specifically designed for fecal sion?


    ne-piece systems wo-piece systems losed-end pouches rainable pouches

    Ostomy belt Answer: D

Expl vide

addit ment

or m

Sto e

main are

used e to

help c


Que


Whi diver


  1. O

  2. T

  3. C

  4. D


Answer: B


Explanation: Two-piece systems are specifically designed for fecal diversion. They allow for easy attachment and detachment of the pouch, making it convenient for emptying and changing the pouch as needed. One-piece systems have the pouch and skin barrier permanently attached to each other and are

suitable for both fecal and urinarydiversions. Closed-end pouches are typically used for one-time use and are suitable for individuals with predictable bowel movements. Drainable pouches have an opening at the bottom that can be opened to empty the contents and are suitable for individuals with unpredictable bowel movements.


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