SCENARIO 1
You are caring for Miss Cassidy, age 50, in her own home. She was diagnosed with colon cancer 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 is 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 online resources about colostomies and diet.
44. How often should Miss Cassidy remove her appliance and replace it?
a) Twice a day.
b) Every 3-7 days or when it leaks.
c) Once a day after breakfast.
Section IV. Module 12. Health Conditions Test 812
NACC2017V.4