306BowelEliminationDefintion

Question 1

ileocecal or ileocolic valve

Answer 1

this valve helps prevent contents from entering the large intestine prematurely and prevent waste production from returning to the smallintestine

Question 2

what does the small intestine absorp

Answer 2

nutrients

Question 3

what does the large intestine absorp

Answer 3

water

Question 4

valsalva maneuver

Answer 4

bearing down

Question 5

valsalva maneuver is contraindicated for what pt and why?

Answer 5

pts with cardiovascular problems because it may cause a dangerously elevated blood pressure in the person with hypertension

Question 6

breast fed infant

Answer 6

stool should be yellow golden and loose with little odor and should pass 2-10 stools a day

Question 7

bottle fed infant

Answer 7

stools should be yellow to brown and have a strong odor typically pass 1-2 stools per day

Question 8

fiber and stool

Answer 8

increase bulk in fecal matter which serves as stimulus for peristalsis resulting in quicker elimination and less time for water absorption and a softer easier to pass stool

Question 9

stress and stool

Answer 9

people in fight or flight and chronically worry the blood is shunted away from the intestine resulting in slow GI motility

Question 10

ribbon like stool could be

Answer 10

a tumor

Question 11

childs stool are frequent, bulky, greasy and foul smelling it could be

Answer 11

cystic fibrosis

Question 12

mechanical obstruction

Answer 12

results from pressure on the intestinal wall; examples of causes could be tumor, stenosis, adhesions, hernias and strictures

Question 13

function obstructions result from

Answer 13

an inability of the intestinal musculature to move the content through the bowel

Question 14

paralytic ileus

Answer 14

abdominal incisions and direct manipulation of the bowel during abdominal surgery inhibit peristalsis

Question 15

Maintaining a Nasogastric Tube:
Used for
Passes through:
offer:

Answer 15

may be used for paralytic ileus and intestine obstruction by tumor or hernia
passed through the nasopharynx into the stomach
frequent oral hygiene 2-4 hours and opportunities to rinse mouth

Question 16

how can you verify tube placement which must be done before administration of nay fluids

Answer 16

radiographic (most accurate)
measurement of aspirate pH
visual assessment of aspiration
and tube length measurement
monitoring for CO

Question 17

ostomy

Answer 17

surgically formed opening from the inside of an organ to the outside

Question 18

stoma

Answer 18

the part of the ostomy that is attached to the skin, is formed by suturing the mucosa to the skin

Question 19

ileostomy

Answer 19

allows for liquid fecal content form the ileum to eliminate through the stoma; may be temporary or permanent

Question 20

colostomy

Answer 20

permits formed feces in the colon to exit through the stoma; may be temporary or permanent

Question 21

Colostomy and Ileostomy Care

Answer 21

inspect the pt stoma regularly; it should be dark pink to red and moist

note size of stoma; it should stabilize within 6-8 weeks

measure pt i/o every four hours for the first 3 days after surgery;

check appliance and for quality and quantity of discharge; as peristalsis returns stool will be eliminated from the stoma

Question 22

ileostomy should drain within

Answer 22

24-48 hours

Question 23

colostomy does not produce drainage until normal peristalsis return within ___ days post surgery

Answer 23

2-5 days

Question 24

during first 6-8 weeks post surgery encourage pt to avoid

Answer 24

foods high in fiber