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. Although she has been taught to change the bags, she needs constant reinforcement, assistance, and support. 41. In caring for Miss Cassidy's colostomy 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 bag as needed 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 Section IV. Module 12. Health Conditions Test 8112 ©NACC 2017 V.4

Answer 1

41. The correct option is a) provide privacy , change when stool present ,use gloves and deodorizers. Colostomy bag causes embarrassed to the patient and also to others so privacy is important , chnage it when stool present to avoid being akward , being hygienic and clean . Use gloves while dealing with colostomy to avoid infection and use deodorants to avoid smell .

42. The correct option is b) Clean the skin around the stoma with mild soap and warm water ,rinse and pat dry to avoid infection , irritation of the stoma .

43. The correct option is a) She should speak with the team care coordinator about her diet because diet plays a vital role in the consistency and frequency of the stool . The patient should avoid gas forming foods , increase fluid intake etc .

44. The correct option is b) every 3-7 days or when it leaks