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Health Proffessions > Chpt 26:Bowel Elimination > Flashcards

Chpt 26:Bowel Elimination Flashcards

1
Q

ostomy

A

surgically created opening is a stoma

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2
Q

defacation

A

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

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3
Q

flatulence

A

excessive formation of gas in the stomach and intestines

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4
Q

suppository

A

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

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5
Q

diarrhea

A

frequent passage of liquid stools

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6
Q

fecal impaction

A

prolonged retention and buildup of feces in the rectu,

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7
Q

dehydration

A

excessive loss of water from tissues

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8
Q

flatus

A

gas or air passed through the anus

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9
Q

enema

A

introduction of fluid into the rectum and lower colon

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10
Q

excreted feces

A

stool

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11
Q

artificial opening between the colon and abdominal wall

A

colostomy

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12
Q

peristalsis

A

alternating contraction and relaxation of intestinal muscles

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13
Q

constipation

A

passage of hard,dry stool

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14
Q

fecal incontinence

A

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

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15
Q

stoma

A

surgically created opening an ostomy

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16
Q

feces

A

semi-solid mass of waste products in the colon

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17
Q

ileostomy

A

artificial opening between

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18
Q

people normally have a bowel movement

A

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

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19
Q

bleeding in the stomach and small intestines cause stool to be

A

black

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20
Q

the characteristic odor of stool is caused by

A

bacterial action in the intstines

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21
Q

when you observe stool is abnormal…

A

ask the nurse to observe the stool

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22
Q

which of these could interfere with defacation

A

having others present in a semi-private room

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23
Q

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

A

inactivity

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24
Q

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

A

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

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25
Q

constipation can be relieved by

A

increasing activity

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26
Q

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

A

fecal impaction

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27
Q

when a fecal impaction is present, its relieved by

A

removing the fecal mass with a gloved finger

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28
Q

when checking and removing a fecal impaction what do you do

A
  • 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
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29
Q

why is good skin care important when a person has diarrhea

A

skin breakdown and pressure ulcers are risks

30
Q

why is diarrhea very serious in older persons

A

it can cause dehydration and death

31
Q

if a person w diarrhea has C.difficile you should

A

practice standard precautions and contact precautions

32
Q

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

A

increased fluid intake

33
Q

if flatus is not expelled the person may complain of…

A

abdominal cramping or pain

34
Q

what is a goal of bowel training

A

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

35
Q

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

A

the usual time of the day the person has a BM

36
Q

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

A

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

37
Q

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

A

over 10-15mins

38
Q

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

A

insert the tubing 2-4in into the rectum

39
Q

when the doc orders enemas until clear

A

ask the nurse how many enemas to give

40
Q

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

A

clamp the tube until the cramping subsides

41
Q

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

A

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

42
Q

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

A

solution will be drawn back into the bottle

43
Q

when giving a small volume enema

A

insert the enema tip 2 inches into the rectum

44
Q

an oil-retention enema is given to do what

A

soften the feces and lubricate the rectum

45
Q

if you feel resistance when you’re giving an enema

A

stop tube insertion

46
Q

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

A

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

47
Q

which of these statements about an ileostomy is true

A

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

48
Q

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

A

changed every 2-7days and when it leaks

49
Q

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

A

the stoma is less likely to expel feces at this time

50
Q

when cleaning the skin around the stoma you use

A

gauze pads or washcloths and water and soap

51
Q

SSE

A

soapsuds enema

52
Q

BM

A

bowel movement

53
Q

when observing stool what shoud be reported to the nurse

A 
color
amount
consistency
prescence/ blood or mucus
odor
shape
frequency of BM
complaints of pain, discomfort
time
54
Q

what 3 food groups are high in fiber

A

fruits
vegs
whole grain cereals and breads

55
Q

name 6 gas forming foods

A 
onions
beans
cucumber
radishes
cabbage
cauliflower
56
Q

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

A

peristalsis

57
Q

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

A

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

58
Q

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

A

can slow heart rate

59
Q

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

A
  • skin is pale, flushed, dry
  • urine is dark and scant
  • BP is falling/ decreased
  • Pulse and respiration rate are increased
60
Q

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

A

swallows air

61
Q

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

A

about 30 min

62
Q

before giving enema, make sure that …

A
  • 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
63
Q

after giving an enema, what should be reported and recorded

A
  • 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
64
Q

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

A

standard precautions, bloodborne pathogen standard

65
Q

how can cramping be prevented during an enema

A

use correct water temp

give solution slowly

66
Q

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

A

10-20 min

67
Q

a small volume enema contains

A

120mL(4oz)

68
Q

a person should retain a small volume enema until….

A

urge to defecate

69
Q

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

A

take deep breath through mouth

70
Q

who can you place in the ostomy pouch to prevent odors

A

deodorant

71
Q

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

A

adhesive time to stick to skin

Health Proffessions (77 decks)

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