NCWO Ostomy Management 2

Question 1

Pre-operative stoma site marking is performed by the WOC nurse to:

Accepted Answer

Identify an optimal site avoiding bony prominences, skin folds, scars, and the belt line

Answer

Determine the type of surgical procedure needed

Answer

Select the brand of pouching system postoperatively

Answer

Document baseline abdominal assessment

Question 2

A urostomy (ileal conduit) patient is at increased risk for which long-term complication?

Accepted Answer

Urinary tract infections and ureteral strictures

Answer

Constipation and bowel obstruction

Answer

Severe dehydration from liquid output

Answer

Vitamin B12 deficiency exclusively

Question 3

The recommended frequency for routine pouch change in a stable ostomy patient is:

Accepted Answer

Every 3–7 days based on pouching system manufacturer guidelines

Answer

Daily to prevent any odor

Answer

Only when the pouch leaks

Answer

Every 12 hours to assess stoma health

Question 4

Parastomal hernia management includes all of the following EXCEPT:

Accepted Answer

Immediate surgical repair in all asymptomatic cases

Answer

Wearing a supportive hernia belt or ostomy support garment

Answer

Avoiding heavy lifting and straining

Answer

Using a convex pouching system to improve seal

Question 5

Convex pouching systems are indicated for patients with:

Accepted Answer

Retracted or flush stomas and peristomal skin folds causing leakage

Answer

Prominent, budded stomas with minimal peristomal skin folds

Answer

High-output ileostomies requiring extra capacity

Answer

Patients with extremely large stoma diameter

Question 6

Which dietary recommendation is most important for a new ileostomy patient to prevent dehydration?

Accepted Answer

Increase fluid and electrolyte intake, especially sodium, to compensate for output losses

Answer

Restrict fluid intake to reduce high-output ileostomy

Answer

Follow a high-fiber diet to add bulk to the output

Answer

Avoid all dairy products indefinitely