Bowel/Intestinal Elimination - Unit 6 Flashcards

1
Q

Digestion begins in the ___.

A

Mouth.

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2
Q

Bowel movements can be excreted as soon as ___ hours after, or as long as __ days after.

A

48hrs/4 days.

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3
Q

What is ocopuerisis? (Or something like that)

A

Where little kids don’t want to go to the bathroom, so they effectively shut down their brain’s ability to tell them when to go to the bathroom.

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4
Q

What are the primary functions of the colon?

A

Removal of solid waste form the body, reabsorption of water and lytes from the chyme, storage and elimination of feces, secretion of mucus to protect intestinal wall.

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5
Q

What is peristalsis?

A

Wavelike movements produced by circular and longitudinal muscle fibers - propels contents through GI tract.

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6
Q

What is defecation facilitated by?

A

Contract of abdominal muscles and diaphragm, flexion of thighs, sitting position, etc.

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7
Q

What are some factors that promote elimination?

A

Environment/lifestyle, high fiber diet, routine, exercise, etc.

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8
Q

What are some changes in the elderly that effect defecation?

A

Decreased esophageal and GI peristalsis, poor dentention, decreased abd tone/muscle tone, decreased anal sphincter tone.

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9
Q

What are some factors impairing defecation?

A

Stress, failure to feel the need, high CHO, immobility, inability to assume proper defecation position.

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10
Q

Laxatives - can cause _____.

A

Lack of muscle tone, so you won’t be able to poop easily if you use these too often.

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11
Q

Narcotics - ___ peristalsis.

A

Slow.

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12
Q

What are some foods affecting defecation?

A

Cabbage, onions, broccoli - gas.
Diarrhea - bran, prunes, fresh fruit, etc.
Constipation - cheese, pasta, rice, etc.

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13
Q

What are some high fiber foods?

A

Raw fruits, cooked fruits, greens, raw veggies and whole grains.

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14
Q

Acholia - def

A

clay-gray almost white stool - caused by a bile obstruction or barium.

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15
Q

Melena - def

A

black stool - higher up in the bowel (bleed.)

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16
Q

Red - a __ GI bleed.

A

Lower.

17
Q

Green/Orange stool - def

A

chlorophyl - beats?

18
Q

Steatorrhea - cystic fibrosis - it is a really __ stool.

A

Fatty - will float on water.

19
Q

Feces is mostly ___ % water.

A

75%

20
Q

Blood in stool - bright red =

A

blood later in GI process.

21
Q

Blood in stool - Black, tarry =

A

Blood entered chyme in stomach or small intestine (digested blood.)

22
Q

Occult (__) blood =

A

hidden blood. Guaiac Test will find this!

23
Q

Constipation - passage of…

A

small, dry hard stool or passage of no stool for period of time.

24
Q

Consistency, rather than frequency, that determines constipation. T/F?

A

True!

25
Q

What are some causes of constipation?

A

Faulty personal habits, diet, medications, lack of exercise/inactivity, age, disease processes

26
Q

Constipation - nursing interventions - what is best?

A

Prevention is best. Adequate fluids, activity, fiber in diet, etc.

27
Q

Fecal Impaction - what is it?

A

Accumulation of hardened feces in rectum and may be in sigmoid. Could have constipation, distention, etc.

28
Q

What is digital removal of impaction?

A

Well, you used a lubed up glove (on your hands) and…well…

29
Q

What is diarrhea?

A

Passage of liquid feces and increased frequency of defecation.

30
Q

What can happen with prolonged diarrhea?

A

Fatigue, weakness, malaise, emaciation, etc.

31
Q

What causes diarrhea?

A

Stress, anxiety, antibiotics, iron, allergy/food intolerance, diseases of colon, etc.

32
Q

Nursing Interventions for diarrhea?

A

Assess, keep bedpan nearby, keep skin/anus clean and dry.

33
Q

What is distention/flatulence?

A

Presence of excessive flatus in GI tract. Will present with distended abdomen/cramp like pain.

34
Q

With distention, you can have dyspnea. T/F?

A

True! You can have it if it is great enough to cause pressure on diaphragm.

35
Q

Flatulence/Distention - nursing interventions?

A

Get patients up and moving, remove cause, etc.

36
Q

Causes of distention?

A

Failure of intestines to absorb gas or unable to propel along tract, foods such as cabbage/beans, etc, decreased peristalsis, constipation, swallowing large amounts of air, surgery, etc.