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Nur 110 > 49 Fecal Elimination > Flashcards

49 Fecal Elimination Flashcards

1
Q

Chyme

A

Waste products leaving stomach through small Intestine to ileocecal valve

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2
Q

Mucous secretion is stimulated by

A

Parasympathetic nervous system

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3
Q

Flatus

A

Air and by products of the ingestion of carbohydrates

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4
Q

3 types of movements In Large intestine

A

Haustral churning
Peristalsis
Mass peristalsis

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5
Q

Haustral churning

A

Moving chyme in haustra

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6
Q

Hemorrhoids

A

Veins in Anya become distended

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7
Q

Make up of normal feces

A

75% water

25% solid

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8
Q

Meconium

A

First fecal material passed by newborn.

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9
Q

Gastronomic reflex

A

Increased peristalsis after food has entered stomach

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10
Q

Insoluble fiber

A

Promotes movement through digestive system and increases stool bulk

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11
Q

Soluble fiber

A

Dissolves in water. Lower cholesterol and glucose levels. Oats, peas, beans, citrus

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12
Q

Constipation

A

Fewer than three BMs per week

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13
Q

Valsalva maneuver

A

Straining during constipation, holding breath

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14
Q

Clostridium difficile

A

Associated disease, which produces mucoid and foul smelling diarrhea

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15
Q

Partial incontinence

A

Inability to control flatus or to prevent minor soiling

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16
Q

Ostomy

A

Opening for the gastrointestinal, urinary or respiratory tract onto the skin

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17
Q

Gastrostomy

A

Opening through the abdominal wall into the stomach

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18
Q

Jejunostomy

A

Opens through the abdominal wall into jejunum

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19
Q

Ileostomy

A

Opens into the ileum (small bowel)

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20
Q

Colostomy

A

Opens into the large colon (large bowel)

21
Q

Single stoma

A

Permanent. One end of bowel is brought out through abdomen.

22
Q

Loop colostomy

A

Loop of bowel supported by plastic bridge or rubber . Two openings: proximal (afferent, active end) distal (efferent, inactive) emergency

23
Q

Divided colostomy

A

Two edges of bowel brought out onto abdomen but separate from each other.

24
Q

Double barreled colostomy

A

Shotgun, sutures 4 inches down

25
Q

Ileostomy produces

A

Liquid fecal drainage. Constant

26
Q

Ascending colostomy

A

Liquid, constant. Major odor

27
Q

Transverse colostomy

A

Malodorous, mushy drainage. No control

28
Q

Descending colostomy

A

Solid drainage. Frequency regulated.

29
Q

Sigmoidostomy

A

May not have to wear appliance at all times.

30
Q

Haustra

A

Longitudinal muscles shorter than the colon, causing the large intestine to have pouches

31
Q

Ileus

A

Surgery that involves direct handling of the intestines can cause temporary cessation of intestinal movement

32
Q

Four common problems related to fecal elimination

A

Constipation, diarrhea, bowel incontinence, flatulence

33
Q

Fecal impaction

A

Mass or collection of hardened feces in the folds of the rectum

34
Q

Emaciation

A

State of being abnormally thin and weak

35
Q

Nurse can help regular defecation by

A 
Privacy
Timing
Nutrition, fluids
Exercise 
Positioning
36
Q

Cathartics

A

Drugs that induce defecation

37
Q

Do not give laxatives to

A

Nausea, cramps, colic, vomiting, undiagnosed abdominal cramps

38
Q

Enema solution

Hypertonic

A

Draws water into Colon

39
Q

Enema solutions

Hypotonic

A

Distends colon, peristalsis and softens feces

40
Q

Enema solutions

Isotonic

A

Distended colon, peristalsis

41
Q

Enema solutions

Soap suds

A

Irritates mucosa, distended colon

42
Q

Enema solutions

Oil

43
Q

Carminatives

A

Herbal oils known to help expel gas from stomach and intestines

44
Q

Cleansing enema

A

Remove feces. Before surgery, scopy, impact, constipation

45
Q

Force of flow for enema

A

Height of solution container
Size of tubing
Viscosity of fluid
Resistance of rectum

46
Q

Carminative enema

A

Expel flatus.

47
Q

Retention enema

A

Oil or medications into rectum and sigmoid colon
Worms, parasites
1-3 hours

48
Q

Return-flow enema

A

Harris flush.
Expel flatus
Repeated

Nur 110 (21 decks)

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