Question

SCENARIO 1 You are caring for Miss Cassidy, age 50, in her own home. She was diagnosed with colon cancer four weeks ago. She had colon surgery and a permanent colostomy was created in the descending colon. She is very thin and has no appetite. She complains of lower back pain, has little energy and sleeps most of the day. She has a sister who lives several miles away but visits every second day. Miss Cassidy is very embarrassed about her colostomy. She says it smells and she can never predict when it will move. She has been taught to change the bags but requires constant reinforcement, assistance, and support.

Option 1

41. In caring for Miss Cassidy’s ostomy for hygiene you would:

a) Provide privacy, change when stool present, use gloves and deodorizers

b) Change once a day, gloves are not necessary unless there is a spill

c) Let her change it when she wants to and don’t worry about it, give her gloves

d) Only change it once a week or when it’s overflowing, use gloves and deodorizers

42. When assisting with ostomy care, you should:

a) Wash and dry the stoma and call the nurse to put on a new appliance

b) Clean the skin around the stoma with mild soap and warm water, rinse and pat dry

c) It’s not necessary to wash the stoma, just change the appliance

d) Wipe with a wet, cool cloth and put on a new appliance

43. Miss Cassidy wonders if her diet is affecting the consistency and frequency of her stools. As her PSW you would suggest that:

a) She should speak with the team care coordinator about her diet

b) She should keep track of how much meat she is eating daily

c) She shouldn’t worry about her diet; just concentrate on gaining some weight

d) Direct her to helpful on-line resources about colostomies and diet

44. How often should Miss Cassidy remove her appliance and replace it?

a) bid

b) Every 3-7 days or when it leaks

c) od

d) ac breakfast

45. Which of the following are potential risk factors for Miss Cassidy developing skin break down?

a) Illness and anorexia

b) Immobility

c) Age

d) All of the above

46. Circle the word that doesn’t fit in the following sets: *

Votre réponse

A) Calorie Carbohydrate Fiber Lozenge B)Asepsis Germ Paralysis Sterilization C) Caring Dominant Empathetic Sensitive D) Blood Incision Stool Urine E) Breathing Incontinence Lungs Respiration F) Impairment Immobility Paralysis Posture G) Capsules Lozenges Tablets Milliliters H) Bleach Detergent Lotion Soap I) Abrasion Absorption Inflammation Irritation J) CVA MI CSF COPD K) Autism Down Syndrome Hydrocephalus Thrush L) TB TIA HIV Hepatitis B

Option 1

47. Please complete the chart on the next page using the following information.

EQUIVALENTS

Glass 180 ml Dessert Dish 120 ml Cup 120 ml Bowl 150 ml

TIME ACTIVITY

Option 7

0730 1 glass of water

0800 Glass of orange Juice, Corn flakes with ½ glass of milk

Coffee, 1 cup Voided 350 ml

0930 Vomited 150 ml of food

1000 ½ glass of water 1 glass of ginger ale

1130 Voided 300 ml

1200 Dessert dish of custard 2 crackers ½ bowl of tomato soup

½ chicken sandwich ½

dessert dish of jello 1 cup of coffee.

1330 Voided 225 ml

1430 ½ cup of clear tea 1 glass of ginger ale Voided 175 ml

Option 21

Answer 1

41. Ans :

a) Provide privacy, change when stool present, use gloves and deodorizers.

Change when the stool present to prevent infection .

42. Ans ;

b) Clean the skin around the stoma with mild soap and warm water, rinse and pat dry.

43. Ans.

b) Every 3-7 days or when it leaks.

Time	Intake	Output
7.30 am	180 ml of water
8.00 am	180 ml of orange juice
	90 ml of milk
	120 ml of coffee	350 ml
9.30 am		150 ml of food (vomited )
10.00 am	180 ml of ginger ale
	90 ml of water
11.30 am		300 ml
12.00 pm	60 ml of custard
	75 mlof tomato soup
	60 ml of jello
	120 ml of coffee
1.30 pm		225 ml
2.30 pm	60 ml of clear tea
	180 ml of ginger ale	175 ml
Total	1395 ml	1200 ml