Bowel Elimination

Question 1

Peristalsis

Answer 1

should be happening if there is a food borne illness

Question 2

Factors influencing bowel elimination

Answer 2

Nutrition
Surgery
Physical activity
Medications

Question 3

Nursing assessment

Answer 3

Diet patterns
Emotional state
Medical history
Inspect, auscultation, percussion, palpate

Question 4

Interventions to help bowel

Answer 4

Sitting position
Fractured bed pan
HOB elevated
give fiber

Question 5

Clay/white color

Answer 5

Bile obstruction

Question 6

Black stool

Answer 6

Upper gi bleed

Question 7

Red stool

Answer 7

Lower gi bleed or hemorrhoids

Question 8

Frothy stool

Answer 8

Fat malabsorption

Question 9

Stool consistency

Answer 9

Liquid// diarrhea
Hard// dehydrated or poor diet
Normal// semisolid

Question 10

Frequency of stool

Answer 10

Adults: 1-3
Infants: 1-6

Question 11

Amount of stool

Answer 11

Varies with diet
100 - 400 per day

Question 12

Constipation (symptom not a disease)

Answer 12

Passing hard dry stool
Caused by opioids, bed rest, dehydration, low fiber
Nursing interventions: comfort and relaxation, routine

Question 14

Impaction

Answer 14

Unrelieved constipation
Result in intestinal obstruction
Subjective: anorexia, cramping, rectal pain
DO NOT GIVE LAXATIVE
Remove stool
Track heart rate because it will drop

Question 15

Diarrhea

Answer 15

Increase of stool
Response to infection
Common cause of c. Diff
Slow peristalsis
Skin care
Hyperactive bs

Question 16

Incintinence

Answer 16

Can’t control feces
Bowel training
Disease that causes nerve repairment

Question 17

Flatulence

Answer 17

Excessive gas
Caused by anesthetics
Reposition
No drinking through a straw

Question 18

Hemorrhoids

Answer 18

Dilated engorged veins in lining the rectum
Increase venous pressure

Question 19

Medications to facilitate stool

Answer 19

Laxatives or suppository
Emory bowel if constipated
Large intestine loses muscle tone

Question 20

Purpose of laxatives

Answer 20

Stimulate bm
Increase fiber
Excercise
Hydration
Toilet training

Question 21

Stimulant

Answer 21

Faster and direct
Most abundant
Castor oil

Question 22

Bulk forming

Answer 22

Increase water absorption

Question 23

Softeners

Answer 23

Decrease surface tension and allow water and fat to penetrate stool

Question 24

Lubricant

Answer 24

Softeners stool

Question 25

Enemas

Answer 25

flush out
Provides immediate relief

Question 26

Hypertonic

Answer 26

Dehydration
Fleets
Salt retention

Question 27

Hypotonic

Answer 27

Fluid overload
Tap water enema
Possible water toxicity

Question 28

Isotonic

Answer 28

Safest option
Normal saline
Balanced salt and water

Question 29

Fecal blood test

Answer 29

Guiac test
Measures for blood in feces
Positive test will need a colonoscopy

Question 30

Colonoscopy

Answer 30

Invasive procedure
Able to see inflamed tissue and ulcers

Question 31

Ostomy

Answer 31

Surgically created intestinal opening

Question 32

Ileostomy

Answer 32

Liquid content eliminated

Question 33

Colostomy

Answer 33

Formed feces in colon exit
Bag should be able to fit around stoma
Avoid high in fiber foods