Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fundamentals (Nurs 113) > Bowel Elimation > Flashcards

Bowel Elimation Flashcards

1
Q

Where does the go tract go

A

Mouth to anus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Role of the bowel in maintaining normal function

A

The food that the body is not able to disgest is excreted
Bacteria and toxins fro, the gi are excreted
Manufactures vitamin k and b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What assessment to identify mechanisms of altered elimination

A

History of Gi tract and elimination
Physical assessments
Abdomen
Ova and parasite and stool sample
Decal occult stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Focused assessment

A

Normal bowel elimination pattern
Need any help to have bowel movement
Recent change in bowel elimination
Issues with bowel Elimination
Bowel diversion
Inspect
Auscultate
Palpate
Percuss
Characteristics of the stool
Anus and rectum
Disgnostic test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What assessments tech

A

Fecal occult: to test for blood, fat, meat fibers, bile etc
Ova and parasites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Developmental considerations

A

Infant: the muscles are not developed as much so decreased control.
Toddlers day time bowel control at 2-3 yes old and 30 months
Adolescent: increased secretion of gastric acid and accelerated growth of large intestines
Older adults: decreased peristalsis and relaxation of sphincter = decreased urge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Breast milk stool vs formula stool

A

Breast milk: watery and yellow brown
Formula stool: pasty and brown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Risk factors for alterations of elimination

A

Daily pattern
Food and fluid
Activity and muscle tome: bed rest patients , decreased activities
Lifestyle
Diagnostic studues
Surgery and anesthesia
Pregnancy
Lifestyle and psychological
Pathological conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What medication cause constipation

A

Opioid so give stool softener
Antacids with aluminum
Antidepressants
Calcium supplements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diarrhea inducing medication

A

Anti acid with magnesium,
Antibiotics
Metformin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What’s important to note about laxative

A

Causes weakening of the bowels
Development of chronic comstipation
It’s never a solution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Most common causes of constipation

A

Depression
Pregnancy
Colon cancer
Stress and eating disorder
Hypothyroidism
Large amounts of diary products
Diseases of the colon and rectum
Inadequate intake if water and fiber
Injury of spinal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Constipation

A

BM less than 3 times a week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Constipation is associated with

A

Pain from hemorrhoids
Disruption of regular diet
Inadequate activity
Neurological conditions
Medicine: opioid, iron pill and antidepressants
Resisting the urge to have a bowel movement
Overuse of laxatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Diarrhea

A

Loose, watery stool that occur more frequent than usual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Most common causes of diarrhea

A

Stomach flu
Uremia or hyperthyroidism
Food and lactose intolerance
Vital or bacterial infection
Contaminated food or water
Autoimmune disease (lupus and chron)
Nervous system disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What’s are associated disorders affecting diarrhea

A

Disgestion
Absorption
Secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Clostridium difficle

A

Hospital acquired infectious diarrhea
Antibiotic usage that disrupts the normal gi tract bacteria flora

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

C diff precautions

A

Wash hands only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are some evidenced based interventions

A

Promote regular bowel habits
Administer laxative or antidiarrheal administer enemas, rectal suppositories, rectal catheter and digital removal of stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Promoting regular bowel habits

A

Timing encouraging the pastimes to stay on regular timing
Positioning to sit upright
Provide privacy
Exercise: promote gi mobility
Comfort measurements
Nutrition: high fiber intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

High fiber intake

A

25-38 g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How can you provide comfort measures for your patient for bowel elimination

A

Encouraging proper diet
Admin medications
Applying ointment etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Administering laxatives and antidiarrheals

A

Stool softeners
Patient and family teaching
Nursing care
Stimulant: sena,bisacodyl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Osmotic polyethylene and antidiarrheals forming psyllium-lactulose magnesium citrate

A

Laxative. It hardens the stool and pulls it through and becomes soft so it can be excreted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

To promote elimination of stool

A

Enema
Suppository
Oral intestinal lovage
Digital removal of stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What’s one thing you have to check before giving suppositories

A

Check the blood pressure

28
Q

Patient education: prevent diarrhea

A

Teach about nutrition
Education on anti diarrhea med
Education on food safety
Medication

29
Q

Prevent constipation

A

High fiber foods: bread, fruits, veg and whole grains
Adequate fluid: 2,000-3,000 ml
Exercise

30
Q

What data are you goi h to gain before admission

A

Physical assessment
Urine and stool characteristics
Measure urine output and bowel movements
Assess for pain associated to elimination

31
Q

Role of nurse in caring for patient with altercation of urinary elimination

A

Focused pelvic and perineal care
Focused abdominal and rectal care pre and post gi procedures
Education
Document
Facilitate independent self care

32
Q

What are we documenting

A

Initial assessment findings
Changes in status during shift change
Response to test and procedure
Change in weight
Intake and output or skin integrity
Patient response to nursing interventions

33
Q

What are you educating the family and patient on

A

Newly diagnosed elimination problem
Ordered test and procedure
Effective infection control
Urinary catheter care

34
Q

Hat are we teaching the patient

A

Hydration
Hygiene
Skin care
Medications
Maintain voiding pattern
Knowing and facilitating bowel patterns
Assisting with urination and bowel movement as needed
Uriemte and have BM when u feel the urge to do so
Self catherizatiim

35
Q

Name some support strategies for patients and family with chronic altercation in elimination

A

Bowel training program
Set routine time for bowel movement 20-40 min after meal
Monitor bowel movement : frequency, consistency, shape and volume
Ensure privacy
Fluid intake of : 2,000-3,000 ml
Foods that promote regular bowel movement
Use digital removal:

36
Q

What is the right time to set bowel movements program

A

20-40 min after meal

37
Q

Digital removal of poop

A

Insert lubricated finger into anus

38
Q

Name some high fiber fiber foods that promote BM

A

Bran
Grains whole
Dried peas
Fresh fruit and vegetables

39
Q

What color BM IS bad

A

Black

40
Q

What are strategies to manage care of a colostomy or ileostomy

A

Community resources are available for assistance
Encourage patients to eat foods that are high in fiber
Avoid foods that might cause diarrhea or flatus
Drink 1.8 liters of water per day
Teach about med
Odor control
Inspect stoma
Resume normal activity and sexual relations

41
Q

What foods to avoid with colostomy to prevent blockage

A

High in fiber
With skin
Seeds
Shells

42
Q

Inspecting stoma

A

Make sure the stoma site is clean and dry
Size is 6-8 inches

43
Q

Relationship to maintain elimination

A

Reno = urination
Urine and bowel elimination is essential for fluid and electrolytes balance
There is an emotional toll for patients with bowel dysfunction. Depression and body image problems
Reproduction may be ffedted
Infection control

44
Q

Emotional and psychological effects of elimination

A

Despair
Anxiety
Fear: of infection
Shame and incontinence
Mood swings

45
Q

Assessment

A

Inspect the abdomen: symmetry, contour distention, protrusion, peristalsis
Inspect anus and retum
Auscultate in 4 quadrants
Palpate

46
Q

Nursing diagnosis constipation

A

Constipation related to
Limited fluid intake, low fiber diet, lack of activity, medication, laxative overuse, stress, depression, lack of privacy, fear of pain, ignoring urge to defecate

47
Q

Nursing diagnosis for diarrhea

A

Related to
Anxiety
Stews
Chemo
Radiation
Laxative abuse
Med side effect
Tube feedings

48
Q

Planning patient goal for constipation

A

Stool is out and normal frequency
Express relief from discomfort
Identify measures to prevent or treat constipation

49
Q

Planning patient goal for diarrhea

A

Explain cause of
1500-2000 ml per day
Maintain good skin turgor, usual weight and skin integrity to reveal area
Report less diarrhea and relief from cramps
Defecate formed, soft stool every day to every third day

50
Q

Implementation constipation

A

Obtain normal BM pattern
Assess for laxative and enema use
Review diary habits, eating schedule and liquid intake
Assess activity level and administer med

51
Q

Implementation diarrhea

A

With the patient daily and note increased weight
Keep rooms odor free
Antidiarrheals drug s needed
Avoid stimulants such as caffeine
Record I and o

52
Q

Fecal diversion

A

Creation of ileostomy or colostomy

53
Q

Ileostomy

A

Opening between skin and small intestine

54
Q

Colostomy

A

Opening between ski and colon

55
Q

Dietary considerations for ileostomy or colostomy

A

Avoid food that causes gas:
Avoid foods that causes odors
Avoid food that cause stoma blockage
Eat foods that help controls diarrhea and are natural intestinal deodorizers

56
Q

Foods that produce ga and and odor

A

Apples
Asparagus
Beer
Cucumbers
Dairy products
Dried peas, beans, and lentils Eggs
Fatty foods
Fish
Garlic
Melons

57
Q

Foods that cause stoma blockage

A

Bean sprouts
Cabbage
Celery
Coconut
Corn
Dried fruit
Mushrooms
Nuts
Peas
Pineapple
Popcorn
Seeds
Skins from fruits and vegetables

58
Q

Foods that are natural deodorizers

A

Buttermilk
Parsley
Yoghurt

59
Q

Why do we irrigate a colostomy

A

To train the bowel to empty at the same time each day

60
Q

Osteomyelitis appliance bag why?

A

Protects the skin
Control odor

61
Q

How many days after surgery we get colostomy bag

A

2-5

62
Q

When do we drain the ostomy bag

A

1/3 is full

63
Q

What to include in documentation

A

Bowel or urinary habits
Assessment findings
Nursing and possible medical diagnosis
Lab and procedural test
Nursing and med interventions
Teaching
Family support system

64
Q

Legal practice’s NEGLIGENCE

A

Protect the patient from falling to prevent secondary to delirium for uti or incontinence
Protect patient from pressure injuries
Keeping patient clean
Monitor lab test and results and urine output to prevent dehydration
Provide hygiene and catheter care
Administer prescribed diets and medication
Advocate for the shortest time with catheter

65
Q

HIPPA

A

Protect the patient information

66
Q

Fraud

A

Information shared with patient is accurate and appropriate

67
Q

Assault and battery

A

Obtain patient consent

Fundamentals (Nurs 113) (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions