Wound, Ostomy, and Continence Nursing(WOCN) Ostomy Certification Practice Exam

The presence of a jejunostomy tube can lead to various complications, and one of the most recognized risks is leakage. A jejunostomy tube is placed in the jejunum, allowing for nutritional intake directly into the small intestine. However, the integrity of the stoma where the tube exits the body is crucial. If the tube is not secured properly or the surrounding tissue is compromised, leakage can occur, which may lead to skin irritation, infection, or further complications.

While diarrhea, malnutrition, and intestinal obstruction can also represent concerns in patients with a jejunostomy, leakage specifically relates to the mechanical aspect of tube placement and stoma care. Diarrhea could arise from the feeding regimen or the formula used; malnutrition is a concern if the patient cannot absorb nutrients adequately, often necessitating the jejunostomy tube in the first place. Intestinal obstruction is a risk that can occur but is generally more associated with mechanical issues in the bowel rather than the presence of the tube itself. Thus, recognizing leakage as a common risk underscores the importance of proper tube management and attention to the stoma site following jejunostomy placement.