TEST INSTRUCTIONS

* Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at http://www.NursingCenter.com/CE/JWOCN. Tests can no longer be mailed or faxed.

* You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you.

* There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.

* For questions, contact Lippincott Professional Development: 1-800-787-8985.

* Registration deadline is December 2, 2022.

PROVIDER ACCREDITATION

Lippincott Professional Development will award 2.0 contact hours for this nursing continuing professional development activity.

Lippincott Professional Development is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment: The registration fee for this test is FREE for members and $21.95 for nonmembers.

JWOCN0121A

Learning Outcome: Clinicians will demonstrate competency in interpreting the evidence presented in this systematic review of the use of a rod to prevent stoma retraction during loop stoma construction by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives: After completing this continuing professional development activity, the participant will be able to apply knowledge gained to:

1. Select the evidence that relates specifically to the authors' inquiry about the use of a rod to prevent stoma retraction.

2. Identify the findings of the studies that addressed additional complications of rod placement.

3. Recognize the evidence that found no differences in specific outcomes with or without rod placement.

1. In comparing the incidence of stoma retraction in patients with stoma rod placement to those without it in all five studies the authors examined for their review, the occurrence of this adverse outcome was

a. significantly more prevalent in the group with a rod.

b. significantly more prevalent in the group without a rod.

c. not significantly different statistically between the two groups.

2. Franklyn et al. (2017) reported a significantly higher rate of which adverse outcome in participants with a rod?

a. edema

b. stenosis

c. prolapse

3. Spiers et al. (2006) reported that the incidence of stoma retraction between the group of patients with rod placement and those without was

a. higher in those with a rod.

b. lower in those with a rod.

c. equal in both groups.

4. Uchino et al. (2017) found significantly higher rates of which of the following peristomal complications in participants with a rod?

a. irritant dermatitis

b. skin necrosis

c. abscess

5. Three of the studies the authors examined reported no difference between participants managed with or without a rod in the incidence of

a. fistula.

b. stoma bleeding.

c. suture dehiscence.

6. Three of the research studies indicated that, compared with the participants without a rod, the number of those with a rod who required re-operation was

a. lower.

b. higher.

c. equivalent.

7. Of the nine participants Franklyn et al. (2017) reported requiring additional surgical management for ostomy-related complications, the two whose surgery was attributed to the presence of a rod had which of the following complications?

a. perforation of the posterior wall

b. peristomal skin damage

c. parastomal hernia

8. Most experts define stoma retraction as a lowering of the mucosa of at least

a. 2 mm from the skin surface for 30% or more of the stoma's circumference.

b. 3 mm from the skin surface for 40% or more of the stoma's circumference.

c. 5 mm from the skin surface for 50% or more of the stoma's circumference.

9. Spiers et al. (2006) found higher rates of which of the following adverse outcomes among participants managed with a rod?

a. stomal abscess

b. anastomotic leakage

c. incomplete diversion

10. Rods have been found to create complexity with applying pouching systems, thus putting patients at particular risk for

a. stenosis.

b. skin damage.

c. stoma stenosis.