Bowel Elimination

Question 1

Food leaves the small intestine and enters the large intestine after how much time?

Answer 1

3-10 hrs

Question 2

Normal characteristics of stool

Answer 2

Brown
Soft
Cylindrical

Question 3

Factors Affecting Bowel Elimination

Answer 3

Nutrition
Fluid intake
Activity and exercise
Body position
Ignoring the urge to defecate
Lifestyle
Medications
Diagnostic procedures
Surgery
Pregnancy
Fecal diversion

Question 4

Fiber recommendations

Answer 4

25-38g of dietary fiber
Fruits and vegetables are high in fiber

Question 5

To promote soft stool consistency and promote bowel elimination

Answer 5

2L - women
3L - men

Question 6

Opioids and iron cause

Answer 6

Constipation

Question 7

Antibiotics cause

Answer 7

Diarrhea

Question 8

Portion of the intestine brought through the abdominal wall

Answer 8

Stoma

Question 9

Stool consistency in an ileostomy

Answer 9

Liquid

Question 10

Stool consistency in a colostomy

Answer 10

Soft

Question 11

Accumulation of gas in the GI tract

Answer 11

Flatulence

Question 12

Paralytic ileus (pseudo-obstruction)

Answer 12

Disruption in normal peristalsis, leading to potential blockage of bowel contents

Question 13

Risk Identification

Answer 13

Dietary factors
Ignoring the urge to defecate
Pt’s mobility
Diagnostic Procedures (esp w/barium)
Surgical procedures
Fear of pain on defecation
Physiologic alterations Medications
Lifestyle changes

Question 14

Nursing Process: Auscultation

Answer 14

start at the lower right quadrant

Question 15

Borborygmi

Answer 15

Loud bowel sounds

Question 16

To confirm absent bowel sounds, listen for

Answer 16

at least 1-2 minutes per quadrant

Question 17

Continued absence of bowel sounds beyond 72hr may indicate

Answer 17

paralytic ileus

Question 18

Annual fecal occult blood test (FOBT) is recommended for

Answer 18

colorectal cancer screening starting at age 45

Question 19

What can cause a false positive FOBT?

Answer 19

Red meat
Iron
Bismuth compounds
Steroids

Question 20

EGD is a procedure that

Answer 20

visualizes the esophagus, stomach, and duodenum

Question 21

Who is responsible for educating the pt prior to any endoscopic procedure?

Answer 21

RN

Question 22

Flexible sigmoidoscopy is recommended

Answer 22

every 5 years

Question 23

Colonoscopy is recommended

Answer 23

every 10 years

Question 24

Small-volume enemas are designed to be retained

Answer 24

up to 30 min

Question 25

Large-volume enemas can be used as

Answer 25

Treatment for constipation

Cleansing the bowel before radiologic studies/surgery

Question 26

Enema should be inserted how far?

Answer 26

Adults - 3-4 in
Children - 2-3 in

Question 27

Return-flow enemas should be placed

Answer 27

12-18in above the rectum

Question 28

Color of stoma is dusty pink (pale) or bluish tint (cyanosis) suggests

Answer 28

Inadequate circulation to the stoma

Question 29

Gastric decompression is indicated for

Answer 29

Bowel obstruction
Paralytic ileus
Some GI surgeries

Question 30

Gastric lavage is indicated for

Answer 30

Accidental poisoning
Accidental/Intentional drug OD

Question 31

What is the treatment for fecal impaction?

Answer 31

Digital disimpaction, done by MD

Question 32

Most common cause of healthcare-acquired diarrhea.

Answer 32

C. diff