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Question # 36

A patient with a retracted colostomy and frequent leakage requires immediate intervention. The WOC nurse should:

Options:

A.

Apply a convex pouching system with skin barrier paste and supportive belt

B.

Use a standard flat barrier with larger opening

C.

Advise the patient to stop wearing a pouch

D.

Recommend immediate surgical revision

Question # 37

Treatment of stomal stenosis includes:

Options:

A.

Dilatation as ordered and close monitoring

B.

No treatment needed

C.

Immediate surgery only

D.

Ignoring the issue

Question # 38

Mucocutaneous separation is treated with:

Options:

A.

Gentle packing and protective skin barriers

B.

Immediate surgery

C.

No treatment

D.

Alcohol cleansing

Question # 39

When creating a care plan for an elderly patient with arthritis and a new colostomy, priority should be given to:

Options:

A.

Adaptive equipment and caregiver training for pouch changes

B.

Standard two-piece system without modifications

C.

No family involvement

D.

Complex multi-step routines

Question # 40

Care planning for adolescent ostomy patients must consider:

Options:

A.

Body image, peer relationships, and independence

B.

Adult protocols without modification

C.

No emotional support

D.

Complete dependence on family

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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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