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1.5 CE Test Hours

Stoma and Peristomal Skin Care

A Clinical Review

Contrada, Emily

AJN The American Journal of Nursing: June 2019 - Volume 119 - Issue 6 - p 46
doi: 10.1097/01.NAJ.0000559782.63440.63
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Stoma and Peristomal Skin Care: A Clinical Review


To provide information about stomas and their complications to nurses who are not ostomy specialists.

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After completing this continuing education activity, you should be able to

  • assess and provide routine care for healthy stomas.
  • describe the risk factors for and appearance of stoma complications.
  • plan appropriate interventions for stoma complications.
  1. A stoma should be
    1. flush with the skin.
    2. 1 cm below skin level.
    3. 1 to 3 cm above skin level.
  2. The color of a stoma should be
    1. dark pink to red.
    2. light pink.
    3. burgundy.
  3. A stoma should have a tissue consistency similar to
    1. peristomal skin.
    2. auricles.
    3. lips.
  4. The center opening of the skin barrier is usually cut how much larger than the stoma?
    1. one-sixteenth of an inch
    2. one-eighth of an inch
    3. one-fourth of an inch
  5. Pouches should be emptied when they are
    1. one-third to one-half full.
    2. one-half to two-thirds full.
    3. about three-quarters full.
  6. How long after stoma creation does stoma edema normally subside?
    1. 1 to 3 weeks
    2. 4 to 5 weeks
    3. 6 to 8 weeks
  7. For an edematous stoma, nurses should
    1. cleanse the stoma very gently.
    2. allow occasional periods with the pouch off.
    3. apply stoma powder around the stoma's edges.
  8. Nurses should apply a cool cloth with light pressure to manage which of the following stoma complications?
    1. edema
    2. bleeding
    3. ischemia
  9. A risk factor for stoma ischemia is
    1. Crohn's disease.
    2. portal hypertension.
    3. a high body mass index.
  10. For a minor mucocutaneous separation, nurses should apply which of the following to the gap between stoma and skin?
    1. steroid spray
    2. calcium alginate
    3. antibacterial ointment
  11. Which intervention should be implemented for a leaking pouch?
    1. Replace the pouch.
    2. Tape the pouch at the leaking edge.
    3. Apply additional skin barrier at the leaking edge.
  12. To treat skin stripping, which of the following should be applied on the open skin before attaching a new pouch?
    1. steroid spray
    2. silver alginate
    3. pectin-based ostomy powder
  13. Nurses should routinely cleanse the peristomal skin with
    1. water.
    2. saline solution.
    3. antibacterial soap.
  14. For stoma retraction, nurses should
    1. use gentle digital dilation.
    2. apply a convex skin barrier.
    3. avoid using an ostomy appliance belt.
  15. For stoma prolapse, nurses should
    1. attach an ostomy appliance belt.
    2. use a convex pouch.
    3. apply a cool cloth.
  16. Stenosis can be a more serious complication for which of the following types of ostomies?
    1. colostomies
    2. urostomies
    3. ileostomies
  17. For a stoma hernia, nurses should
    1. irrigate the stoma.
    2. apply a one-piece pouch.
    3. apply a convex skin barrier.
  18. Allergic dermatitis on peristomal skin is usually caused by an allergic reaction to the
    1. adhesive substance on the tape border of the pouch.
    2. skin barrier materials used in the pouch.
    3. pouch itself resting on the peristomal skin.
  19. Which of the following stoma complications typically presents as a purple discoloration in a “sunburst” pattern around the stoma?
    1. pseudoverrucous lesions
    2. pyoderma gangrenosum
    3. peristomal varices
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