Ch. 33 Bowel Elimination Flashcards
What are the three main functions of the intestine?
- Motility
- Absorption
- Defecation
What is motility?
Segmentation and peristalsis.
What is absorption?
Most/not all nutrient and electrolyte absorption occurs in the duodenum and jejunum.
What is defecation?
Peristalsis triggers elimination of feces.
Which of the following bowel habits are abnormal?
A. Breast-fed infant with stool once every 3 days.
2. Toddler smearing or playing with feces.
3. Preschooler with bowel control but not bladder control.
4. Elderly with fecal incontinence.
- Elderly with fecal incontinence. (Bladder incontinence is different)
You are assessing factors related to constipation in your postoperative patient. Which of the following could contribute to constipation? Select all that apply.
- Opioid analgesics
- Decreased mobility
- Fear of pain
- Supine position
- Lack of privacy
ALL
What are forms of altered bowel function?
- Constipation
- Fecal impaction
- Diahhrea
- Fecal Incontinence
- Flatulence
- Distension
What are components of a bowel physical assessment ?
- Inspection
- Auscultation
- Percussion
- Palpation
- Measurement of abdominal girth (ascites)
- Perirectal examination
During physical assessment for bowel function, it is best to perform palpation of suspected area of the abdomen…
- not at all, it is best not to disturb a painful abdomen
- after performing auscultation
- prior to performing auscultation
- in the late afternoon so the bowel has time to wake
- after performing auscultation
What are nursing interventions for altered bowel function?
- Medication administration
- FMT (fecal microbiota transplantation
- Enema distribution
- Fecal impaction removal
- Rectal tube insertion
- Bowel training
- Fecal collection during incontinence
- Stoma management
- Continent fecal diversion management
- Nasogastric intubation
What medications are used for interventions of altered bowel function?
- Laxatives
- Antidiarrheals agents
- antiflatulence agents
Nasogastric intubation is used for what purposes in relation to altered bowel function?
- Gastric decompression
- Gastric lavage
- Gastric feeding
Nasogastric tube placement needs to be checked prior to instilling fluids or administering medications. The best way of assuring tube location is?
- aspirating gastric fluid from the tube
- instilling air via syringe and listening with a stethoscope for a “whoosh”
- Portable chest x-ray reading
- Inserting the tube end into water and checking for bubbles
- Portable chest x-ray reading
