elimination

Question 1

passing of feces

Answer 1

defecation

Question 2

semisolid, fiber substance, result of digestion

Answer 2

feces

Question 3

bowel elimination process:

Answer 3

fecal material reaches rectum, stretch receptors initiate contraction of sigmoid colon/rectal muscles, internal anal sphincter relaxes, sensory impulses cause voluntary “bearing down”, and external sphincter relaxes

Question 4

fecal material reaches rectum, stretch receptors initiate contraction of sigmoid colon/rectal muscles, internal anal sphincter relaxes, sensory impulses cause voluntary “bearing down”, and external sphincter relaxes

Answer 4

bowel elimination process

Question 5

process of bearing down (pushing down), puts pressure on the vagus nerve, causing decrease in BP and pulse which can lead you to pass out/get light headed

Answer 5

valsalva manuever

Question 6

bristol chart is used for what?

Answer 6

classifying stools

Question 7

separate hard lumps

Answer 7

constipation

Question 8

sausage-shaped but lumpy

Answer 8

mild constipation

Question 9

sausage-shaped with cracks on its surface

Answer 9

healthy

Question 10

smooth and soft like a snake

Answer 10

healthy

Question 11

soft blobs with clear-cut edges

Answer 11

lacking fiber

Question 12

fluffy and mushy with ragged edges

Answer 12

mild diarrhea

Question 13

entirely liquid, watery

Answer 13

diarhhea

Question 14

stool is brown

Answer 14

normal

Question 15

stool is green

Answer 15

green dye, green vegetables, antibiotics, bacterial infection

Question 16

stool is yellow

Answer 16

excess fat, small intestinal infection

Question 17

stool is bright red

Answer 17

red food/dyes, drinks, or food, or hemorrhoids

Question 18

stool is black or dark brown

Answer 18

iron supplements, bismuth subsalicylate (pepto), bleeding upper digestive tract

Question 19

stool is white, light, or clay-colored

Answer 19

antidiarrheal medications, lack of bile (fat absorption)

Question 20

stool is reddish

Answer 20

red foods, drinks, or dyes, bleeding in the lower gut or rectum

Question 21

components of a complete bowel assessment

Answer 21

nursing history, physical assessment, review of relevant test results, patients medical history, chewing ability, recent stressors or illnesses, and environmental situation

Question 22

questions to ask during nursing history for a bowel assessment

Answer 22

how long since your last bowel movement, what are they like (color/shape), patient diet

Question 23

factors that affect bowel elimination:

Answer 23

developmental stage, personal factors, sociocultural factors, nutrition/hydration, activity, medications, surgery & procedures, pregnancy, and pathological considerations

Question 24

biggest impact affecting bowel movement is ____ and ____

Answer 24

nutrition and hydration

Question 25

alterations in bowel elimination status:

Answer 25

constipation, impaction, diarrhea, incontinence, flatulence, and hemorrhoids

Question 26

uncomfortable or infrequent bowel movements, hard stool

Answer 26

constipation

Question 27

stool you can't pass, constipation that has gone unchecked

Answer 27

impaction

Question 28

stool is more watery

Answer 28

diarrhea

Question 29

inability to control feces or urine

Answer 29

incontinence

Question 30

gassy

Answer 30

flatulence

Question 31

ulcers or enlarged blood vessels; straining to poop

Answer 31

hemorrhoids

Question 32

interventions to promote normal bowel elimination:

Answer 32

high fiber diet, squatty potty - legs 35 degrees on a stool

Question 33

patient teaching topics:

Answer 33

medications, nutrition, cathartics/laxatives, enema, and promotion of activity level

Question 34

cathartics do what?

Answer 34

accelerate bowel movements

Question 35

laxatives do what?

Answer 35

soften stool

Question 36

device for bowel incontinence

Answer 36

flexi-seal rectal tube

Question 37

plays a big part in human bowel movements; body secretes this to hold onto body fluid so we aren't peeing it out

Answer 37

antidiuretic hormone (ADH)

Question 38

secretion of potassium in the kidneys, released by the adrenal gland

Answer 38

aldosterone

Question 39

"bearing down" means ____

Answer 39

when the pressure within the abdomen increases and helps empty stool

Question 40

blood in urine

Answer 40

hematuria

Question 41

inability to control urine or feces

Answer 41

incontinence

Question 42

to urinate

Answer 42

void

Question 43

to urinate

Answer 43

micturate

Question 44

painful or difficult urination

Answer 44

dysuria

Question 45

leakage of urine despite voluntary control of urination

Answer 45

dribbling

Question 46

accumulation of urine in bladder without the ability to completely empty

Answer 46

retention

Question 47

frequent night urination

Answer 47

nocturia

Question 48

large amounts of urine

Answer 48

polyuria

Question 49

the need to void at frequent intervals

Answer 49

urine frequency

Question 50

the need to void all at once

Answer 50

urine urgency

Question 51

presence of large protein in urine

Answer 51

proteinuria

Question 52

difficulty initiating urination

Answer 52

hesitancy

Question 53

urine remaining post void > 100 ml

Answer 53

residual

Question 54

components of a complete urinary assessment

Answer 54

nursing history, self-care ability, cultural considerations, review of relevant test results, and patients medical history

Question 55

kidneys produce approximately __ to ___ ml per hour

Answer 55

50-60 ml

Question 56

normal voiding is typically how many times per day, this also depends on fluid intake

Answer 56

5-6 times per day

Question 57

most common urinary incontinence, can happen when a woman sneezes, coughs, etc

Answer 57

stress continence

Question 58

need to go right now, is what type of urinary incontinence?

Answer 58

urge

Question 59

build up of urine is what type of incontinence?

Answer 59

overflow

Question 60

can't get to the bathroom fast enough because of mobility issues is what type of incontinence?

Answer 60

functional

Question 61

bladder incontinence devices

Answer 61

condom catheter, pure wicks, foley catheter

Question 62

for male patients, fits over penis and drains urine out, it is also not invasive

Answer 62

condom catheter

Question 63

lays over genitalia, has a suction device, collects urine

Answer 63

pure wick

Question 64

putting a drainage tube into urinary system, balloon inflated that keeps catheter lodged into bladder

Answer 64

foley catheter

Question 65

promoting normal urination interventions

Answer 65

history health, kegel exercises, bladder training/toileting schedule, privacy, positioning, fluids/nutrition, monitor for skin breakdown

Question 66

characteristics of urine

Answer 66

color, odor, clarity

Question 67

indicates intake or lack of fluids

Answer 67

color of urine

Question 68

urine will appear cloudy if a pathogen is present

Answer 68

clarity

Question 69

pathogens can change the smell, as well as intake

Answer 69

odor

Question 70

all fluid intakes that you record

Answer 70

semi-liquid fluids, ice chips, IV fluids, fluids, tube feeding, irrigation instilled and not immediately removed

Question 71

all fluid outputs that you record

Answer 71

fluid loss via emesis, urine output, diarrhea, and drainage from suction or wounds

Question 72

emesis is the act of ____

Answer 72

vomiting

Question 73

what color is urine if there is dehydration?

Answer 73

dark yellow

Question 74

greenish urine can result from consumption of ____

Answer 74

asparagus

Question 75

normal urine is what color?

Answer 75

clear to pale yellow