Bowel Elimination

Question 1

defecation

Answer 1

: process of elimination of waste

Question 2

Feces

Answer 2

semisolid mass of fiber, undigested food, inorganic material, etc.

Question 3

what is the process of bowel elimination

Answer 3

Fecal material reaches rectum
Stretch receptors initiate contraction of sigmoid colon/rectal muscles
Internal anal sphincter relaxes
Sensory impulses cause voluntary “bearing down”
External sphincter relaxes

Question 4

what are the factors affecting bowel elimination

Answer 4

Developmental stage
 Personal factors
 Sociocultural factors
 Nutrition/hydration
 Medications
 Procedures
Pregnancy
 Pathological conditions
 Bowel diversions

Question 5

How many ounces of water should you take in a day for healthy defecation

Answer 5

6-8 ounces of water a day

Question 6

what are bowel diversions

Answer 6

Ileostomy

Colostomy

Question 7

what are some common diagnostic tests

Answer 7

Direct visualization
       *Colonoscopy
        *Sigmoidoscopy
Radiographic views
         *Flat plate of the abdomen

Question 8

ileostomy

Answer 8

a surgical opening constructed by bringing the end or loop of small intestine (the ileum) out onto the surface of the skin

Question 9

colostomy

Answer 9

a surgical procedure in which a stoma is formed by drawing the healthy end of the large intestine or colon through an incision in the anterior abdominal wall

Question 10

colonoscopy

Answer 10

a test that allows your doctor to look at the interior lining of your large intestine (rectum and colon)

Question 11

sigmoidoscopy

Answer 11

a procedure used to see inside the sigmoid colon and rectum.

Question 12

what are the different studies of feces

Answer 12

Stool for occult blood
Stool for fecal fat
Stool for ova and parasites

Question 13

how do you promote regular defecation

Answer 13

Encourage fluids
Proper diet
Fresh fruits, vegetables, whole grains, fiber
Exercise
3–5 times a week
Range of motion for clients on bedrest

Question 14

what are some common alterations in defecation

Answer 14

Diarrhea

Constipation

Fecal impaction

Bowel diversions

Question 15

what is the BRAT diet

Answer 15

controls diarrhea ….bananas, Rice, Apples, Toast

Question 16

how do you manage a bowel diversion

Answer 16

Stoma assessment and care
Strict attention to skin care/peristomal skin assessment
Monitor amount and type of effluent
be attentive to client’s psychosocial needs
Be professional; show acceptance
Attend to odor control
Address client participation in ostomy care
Client teaching for home care