Chpt 26:Bowel Elimination

Question 1

ostomy

Answer 1

surgically created opening is a stoma

Question 2

defacation

Answer 2

process of excreting feces from the rectum through the anus is a bowel movement

Question 3

flatulence

Answer 3

excessive formation of gas in the stomach and intestines

Question 4

suppository

Answer 4

cone-shaped solid drug that is inserted into a body opening

Question 5

diarrhea

Answer 5

frequent passage of liquid stools

Question 6

fecal impaction

Answer 6

prolonged retention and buildup of feces in the rectu,

Question 7

dehydration

Answer 7

excessive loss of water from tissues

Question 8

flatus

Answer 8

gas or air passed through the anus

Question 9

enema

Answer 9

introduction of fluid into the rectum and lower colon

Question 10

excreted feces

Answer 10

stool

Question 11

artificial opening between the colon and abdominal wall

Answer 11

colostomy

Question 12

peristalsis

Answer 12

alternating contraction and relaxation of intestinal muscles

Question 13

constipation

Answer 13

passage of hard,dry stool

Question 14

fecal incontinence

Answer 14

the inability to control the passage of feces and gas through the anus

Question 15

stoma

Answer 15

surgically created opening an ostomy

Question 16

feces

Answer 16

semi-solid mass of waste products in the colon

Question 17

ileostomy

Answer 17

artificial opening between

Question 18

people normally have a bowel movement

Answer 18

everyday
every 2-3 days
2-3 times a day

Question 19

bleeding in the stomach and small intestines cause stool to be

Answer 19

black

Question 20

the characteristic odor of stool is caused by

Answer 20

bacterial action in the intstines

Question 21

when you observe stool is abnormal…

Answer 21

ask the nurse to observe the stool

Question 22

which of these could interfere with defacation

Answer 22

having others present in a semi-private room

Question 23

a person who must stay in bed most of the time may have irregular elimination and constipation because of

Answer 23

inactivity

Question 24

which of these would provide safety for the person during bowel elimination

Answer 24

place the call light and toilet tissue w/in the person’s reach

Question 25

constipation can be relieved by

Answer 25

increasing activity

Question 26

a person tries several times to have a BM and cant. Liquid feces seep from the anus. This may mean that he has...

Answer 26

fecal impaction

Question 27

when a fecal impaction is present, its relieved by

Answer 27

removing the fecal mass with a gloved finger

Question 28

when checking and removing a fecal impaction what do you do

Answer 28

- the procedures must be in your job description - your state must allow you to perform this procedure - you must have the necessary ed. and training

Question 29

why is good skin care important when a person has diarrhea

Answer 29

skin breakdown and pressure ulcers are risks

Question 30

why is diarrhea very serious in older persons

Answer 30

it can cause dehydration and death

Question 31

if a person w diarrhea has C.difficile you should

Answer 31

practice standard precautions and contact precautions

Question 32

when fecal incontinence occurs, the person may need all of these except

Answer 32

increased fluid intake

Question 33

if flatus is not expelled the person may complain of...

Answer 33

abdominal cramping or pain

Question 34

what is a goal of bowel training

Answer 34

to gain control of BM to develop reg. pattern of elimination to prevent fecal impaction,constipation and fecal incontinence

Question 35

when bowel training is planned, what is included in the care plan

Answer 35

the usual time of the day the person has a BM

Question 36

when the nurse delegates you to prepare a soapsuds enema for an adult mix

Answer 36

3-5mL of castile soap in 500-1000mL of tap water

Question 37

when you give a cleansing enema, it should be given to the person...

Answer 37

over 10-15mins

Question 38

the person receiving an enema to an adult you will do...

Answer 38

insert the tubing 2-4in into the rectum

Question 39

when the doc orders enemas until clear

Answer 39

ask the nurse how many enemas to give

Question 40

if youre giving an enema and the person complains of cramping...

Answer 40

clamp the tube until the cramping subsides

Question 41

if youre giving a cleansing enema to a child, what is the right thing to do

Answer 41

a saline enema is used when giving a cleansing enema to a child

Question 42

when giving a small volume enema, dont release pressure on the bottle because

Answer 42

solution will be drawn back into the bottle

Question 43

when giving a small volume enema

Answer 43

insert the enema tip 2 inches into the rectum

Question 44

an oil-retention enema is given to do what

Answer 44

soften the feces and lubricate the rectum

Question 45

if you feel resistance when you're giving an enema

Answer 45

stop tube insertion

Question 46

when you're caring for a person w/ an ostomy you know

Answer 46

the stoma does not have sensation and touching it does not cause paon

Question 47

which of these statements about an ileostomy is true

Answer 47

the skin around the ileostomy can be irritated by the digestive jucies in the stool

Question 48

when caring for a person with an ostomy, the pouch is changed how frequently

Answer 48

changed every 2-7days and when it leaks

Question 49

the best time to change the ostomy bag is before breakfast because

Answer 49

the stoma is less likely to expel feces at this time

Question 50

when cleaning the skin around the stoma you use

Answer 50

gauze pads or washcloths and water and soap

Question 51

SSE

Answer 51

soapsuds enema

Question 52

BM

Answer 52

bowel movement

Question 53

when observing stool what shoud be reported to the nurse

Answer 53

``` color amount consistency prescence/ blood or mucus odor shape frequency of BM complaints of pain, discomfort time ```

Question 54

what 3 food groups are high in fiber

Answer 54

fruits vegs whole grain cereals and breads

Question 55

name 6 gas forming foods

Answer 55

``` onions beans cucumber radishes cabbage cauliflower ```

Question 56

drinking warm fluids such as coffee, tea, hot cider and warm water will increase...

Answer 56

peristalsis

Question 57

if youre delegated to remove a fecal impaction what observations should you report and record

Answer 57

signs/bleeding coor, amount consistency and odor/feces complaints of pain or discomfort how the person tolerated the procedure

Question 58

when checking and removing impactions the vagus nerve may be stimulated. Why is this serious

Answer 58

can slow heart rate

Question 59

how will dehydration affect skin,urine,BP, pulse and respirations

Answer 59

- skin is pale, flushed, dry - urine is dark and scant - BP is falling/ decreased - Pulse and respiration rate are increased

Question 60

flatulence may be caused when a tense or anxious person does what while eating and drinking

Answer 60

swallows air

Question 61

when a nurse inserts a suppository, how soon would you expect the person to defecate

Answer 61

about 30 min

Question 62

before giving enema, make sure that ...

Answer 62

- your state allows you to perform procedure - the procedure is in your job description - you have necessry ed and training - you review procedure w/ nurse - a nurse is available to answer questions and supervise

Question 63

after giving an enema, what should be reported and recorded

Answer 63

- amount/solution given - noted bleeding/resistance when inserting the tube - how person retained enema - color,amount, consistancy,pain,discomfort - complaints of cramping, pain, discomfort - complaints of nausea/weakness - how person tolerated procedure

Question 64

because it is likely you will have contact with stool while giving an enema you should follow...

Answer 64

standard precautions, bloodborne pathogen standard

Question 65

how can cramping be prevented during an enema

Answer 65

use correct water temp | give solution slowly

Question 66

how long does it take for tap water, saline,soapsuds,enema to take effect

Answer 66

10-20 min

Question 67

a small volume enema contains

Answer 67

120mL(4oz)

Question 68

a person should retain a small volume enema until....

Answer 68

urge to defecate

Question 69

when you start to insert the tube to give an enema ask the person to....

Answer 69

take deep breath through mouth

Question 70

who can you place in the ostomy pouch to prevent odors

Answer 70

deodorant

Question 71

showers and baths are delayed 1-2 hours after applying a new pouch to allow...

Answer 71

adhesive time to stick to skin