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NAWCO-OMS : NAWCO Ostomy Management Specialist Exam

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?
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
Re
Re
Answ
Expla ensure
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Quest
A pati t
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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?
Keep the area dry at all times
Use alcohol-based cleansers for cleaning
Apply a barrier cream before pouch application
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?
Infection
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?
Uri Answ
Expla toring
and pr
Quest
A pati cal
interv ?
Ap
Fist
Col
Sig Answ
Expla nt
further Quest What is
Allergic reaction to the adhesive
Stoma size changes
Infection
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
Av
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Question: 719
Which of the following types of skin barriers for ostomy management provides flexibility and conforms well to irregular skin surfaces?
Flexible skin barriers
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?
C
Ans Expl
irreg ide a
comf ay
be s al
supp ls
with f e
desi surfa
Que
Whi ion
to pa
Surgeon
Pharmacist
Physical therapist
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?
Il
M
P
C
Ans
Expl e is a
reco nto
the s
Que
Whi rine,
or ad
Peristomal candidiasis
Allergic contact dermatitis
Psoriasis
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?
T
O
S
I
Ans
Expl in
arou ngal
crea
Que
Whi e
cont
P
Folliculitis
Suture granulomas
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
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P
S
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?
Flat skin barrier
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 P F S P Ans Expl e thro of a peris d adja Which type of ostomy system is designed as a single unit combining the skin barrier and pouch? One-piece system 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. 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 tissuQue
stion: 729
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