Bowel Movement + Ostomy Care

Question 1

peristalsis

Answer 1

smooth, involuntary muscular contractions

Question 2

pathway of digestive system

Answer 2

mouth->esophagus->stomach->small intestine->large intestine->rectum

Question 3

another name for large intestine

Answer 3

colon

Question 4

feces vs stool

Answer 4

feces = waste in rectum 
stool = excreted feces

Question 5

most common time for bowel movement to occur

Answer 5

after breakfast

Question 6

if blood is in the stomach or small intestine, what colour would the stool be?

Answer 6

black and tarry

Question 7

if blood is in the lower colon, what colour would the stool be?

Answer 7

a more red stool

Question 8

6 things to report about a clients bowel movement

Answer 8

• odour
• amount
• consistency
• colour
• form
• frequency

Question 9

6 factors that affect bowel movement

Answer 9

• privacy
• personal habits
• diet
• activity
• aging
• disability

Question 10

constipation

Answer 10

less frequent, dry, hard, difficult to pass stool

Question 11

fecal impaction

Answer 11

prolonged retention and accumulation of feces in the rectum

Question 12

diarrhea

Answer 12

rapid passing of feces through the intestines with no time for fluid absorption ; urgent need to defecate

Question 13

fecal incontinence

Answer 13

inability to voluntarily control defecation

Question 14

flatulence

Answer 14

gas or flatus, a byproduct of digestion, normally found in stomach and intestines

Question 15

3 goals of bowel training

Answer 15

• control of bowel movements
• develop regular patterns for bowel movements
• prevent impaction, constipation, fecal incontinence

Question 16

how to maintain bowel training

Answer 16

• know client’s bowel routine
• offer bathroom assistance
• follow care plan
• offer fluids/fibre
• activity
• suppository (as last resort)

Question 17

enema

Answer 17

when a fluid containing a solution is inserted in rectum/lower colon

Question 18

two types of enemas

Answer 18

cleansing enema = usually given in a facility/hospital

commercial enema = can be purchased over the counter at drug stores

Question 19

symptoms of fecal impaction

Answer 19

• feces becomes hard and putty like, unable to pass
• distended abdomen, bloating
• oozing liquid stool around blockage

Question 20

symptoms of constipation

Answer 20

• bloating
• nausea
• distention

Question 21

causes of constipation

Answer 21

• dehydration
• lack of activity
• lack of fibre
• medications

Question 22

ostomy

Answer 22

surgical creation of an artificial opening (stoma)

Question 23

healthy stoma features

Answer 23

red/pink colour and moist

Question 24

colostomy

Answer 24

ostomy through the colon/large intestine for feces to pass through

Question 25

ileostomy

Answer 25

ostomy through small intestine for feces to pass through

Question 26

ileoconduit

Answer 26

ostomy that allows urine to pass through

Question 27

when to change an ostomy bag

Answer 27

every 3-7 days or if bag is leaking

Question 28

when to empty ostomy bag

Answer 28

every time it’s full

Question 29

why do we not want to change an ostomy bag too often

Answer 29

wanting to avoid skin irritation that may result in client not being able to wear bag ; ostomy bag is expensive

Question 30

another name for ostomy bag

Answer 30

appliance

Question 31

after changing an ostomy bag how long until the client can shower

Answer 31

about 1-2 hours

Question 32

why should you avoid getting soap on a stoma

Answer 32

stoma is a mucous membrane that must stay moist, soap would dry it out