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Question # 11

A patient with a urostomy develops encrustations and skin irritation. The best treatment includes:

Options:

A.

Increased fluid intake, vinegar soaks, and acidic urine management

B.

Reducing fluids

C.

Alkaline soap application

D.

No change in routine

Question # 12

For a patient with peristomal pyoderma gangrenosum, the recommended treatment includes:

Options:

A.

Corticosteroids (topical or systemic) and trauma-minimizing pouching

B.

Aggressive surgical debridement as first line

C.

Antifungal agents only

D.

No specific intervention

Question # 13

Care planning for adolescent ostomy patients should address:

Options:

A.

Body image, peer relationships, and independence

B.

Adult protocols without modification

C.

No emotional support

D.

Complete dependence on parents

Question # 14

Post-discharge, the WOC nurse should refer a patient with ongoing peristomal complications to:

Options:

A.

Outpatient WOC nurse or ostomy support group

B.

Primary care only

C.

No follow-up needed

D.

Emergency department

Question # 15

For a patient with mucocutaneous separation, the primary intervention is:

Options:

A.

Gentle packing with absorbent dressing and protective skin barrier

B.

Immediate surgical repair

C.

No intervention

D.

Alcohol application

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COCN Overview

Name Certified Ostomy Care Nurse
Code COCN
Vendor Nursing
Certification Wound Ostomy Continence Nursing Certification Board (WOCNCB)

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