Linton: Introduction to Medical-Surgical Nursing, 6th Edition
Chapter 26: The Patient with an Ostomy
Answer Key – Open-Book Quiz
1. Two factors must be considered, secure pouch placement and ease of self-care. To
2. An ileostomy is an opening in the ileum. It is used when the entire colon must be
bypassed or removed. A surgical incision is made in the abdomen, and a loop or the
3. A continent ileostomy has an internal pouch created from a loop of ileum for storing
4. Obstruction—scar tissue or strictures may cause obstruction; peritonitis—if fecal
6. The main long-term complications of colostomy are prolapse and stenosis. A
prolapsed stoma protrudes farther out than usual. Stenosis is the narrowing of the
7. The most common type is ileal conduits. Other diversions include cutaneous
ureterostomy, colonic conduit, cystostomy, vesicostomy, and nephrostomy.
8. Leakage of the anastomosed ureters and intestinal segments, ureteral obstruction, and
9. The Kock pouch is constructed with a segment of ileum. The ureters are implanted in
one side of the ileal segment. A nipple valve is constructed from the other side and
10. A vesicostomy or cystostomy is an opening into the urinary bladder. Urine is drained