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1. How do you lubricate the retention sleeve?
a) Place a drop of lubricant on either side of the retention sleeve and move the sleeve up and down, over the lubricant.
b) You don’t lubricate the retention sleeve.
c) Place a drop of lubricant on the side towards the handle of the guidewire. Move the retention sleeve over it and then backwards and forwards.
2. How do you prepare the bulbous feature of The Insides Tube?
a) Collapse the bulb by pressing the guidewire up to the ‘stop’.
b) Collapse the bulb by pressing the guidewire up to the ‘stop’ and maintain this position by holding your hand firmly in place. Pinch the bulb to flatten it even further with your other hand to help insertion.
c) Collapse the bulb by pressing the guidewire up to the ‘stop’ and press into the stoma, using your non-dominant hand to guide.
3. How do you know the bulbous feature is below the fascia?
a) You reach the predetermined length on the tube.
b) You reach the predetermined length on the tube and press a further inch to press the bulbous feature underneath the fascia.
c) You press the entire length of the tube, up to the retention sleeve, into the stoma.
4. How much warm water or chyme is needed to demonstrate the first test?
a) 70ml.
b) Enough to completely submerge The Insides Pump.
c) Approximately 150-200ml.
5. What should the patient do when they feel nauseous, bloating, and abdominal discomfort while refeeding?
a) Pause refeeding for several minutes and try again.
b) Use the lowest speed that gets the chyme moving through the Tube.
c) Reinfuse small boluses, throughout the day.
d) Take pain relief to reduce the discomfort.
e) Reinfuse only to the patients tolerance ensuring that it is at least once a day.
f) All of the Above.
6. How quickly should you progress through the speeds on The Insides® Driver to see chyme moving up the Tube?
a) Don’t wait, cycle through the speeds quickly.
b) Hold the Driver in place for 20 seconds before progressing to the next speed.
c) Hold the Driver in place for 30-60 seconds before progressing to the next speed.
7. What are the ways patients can safely remove their ostomy appliance without disturbing the Tube?
a) Detach the Pump while inside the ostomy appliance and then remove the ostomy appliance and thread over the Tube.
b) Detach the ostomy appliance and slowly thread over the Tube and then the Pump.
c) Use a 2 piece ostomy appliance, decouple the pouch from the base plate and detach the Pump. Then detach the base plate and thread over the Tube.
d) All of the above.
8. How much space to do you leave between the end of The Insides® Pump and the end of the ostomy appliance?
a) No space.
b) 1-2 cm.
c) 2-4 cm.
9. Is it okay to have reflux?
a) Yes, but measures should be taken to reduce the amount of reflux occurring.
b) No.
c) Yes, don’t worry about it.
10. Which the following allow patients to get The Insides® Pump sitting securely in the bottom of their ostomy appliance?
a) Press the Tube and Pump combination through the aperture of the ostomy appliance, thread over and securing to place.
b) Thread the Pump through the bottom of the ostomy appliance and slide onto the Tube up to the third thread.
c) Use a 2 piece ostomy appliance, thread the Tube through the base plate and secure. Then attach the Pump and thread on the ostomy pouch.
d) Cut the aperture of the ostomy appliance out to 35mm so it can fit the Pump.
E) All of the above.
11. Who can insert The Insides® Tube?
a) Lift the ostomy appliance to horizontal and place the Driver ‘ontop’ of the pump to remove gravity.
b) Ensure chyme viscosity is not too thick to reinfuse.
c) Avoid fibrous stringy foods.
12. Which of the following troubleshooting tips does not make reinfusing more efficient?
a) Lift the ostomy appliance to horizontal and place the Driver ‘ontop’ of the pump to remove gravity.
b) Ensure chyme viscosity is not too thick to reinfuse.
c) Avoid fibrous stringy foods.
d) Remove the tube and clean it every second day.
e) Change the Pump on day 3.
f) Ensure the Tube is sitting straight in the ostomy appliance.
g) Manipulate the chyme into the back of the Pump so that it is drawn in there easier when coupled with the Driver.
h) Ensure the Tube is anchored and intubated in the enterostomy correctly.
i) None of the above, they all make reinfusing more efficient.
Please attempt the quiz again to get 100% correct for your certificate.
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