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RLE-107 > Fecal Elimination > Flashcards

Fecal Elimination Flashcards

1
Q

Absorption of water and nutrients, mucoid protection of intestinal walls, fecal elimination

A

LARGE INTESTINE (Colon)

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2
Q

Length of large intestine

A

125-150 cm

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2
Q

increases downward pressure on the rectum

A

SITTING POSITION

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2
Q

increases pressure within abdomen

A

THIGH FLEXION

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2
Q

Parts of large intestine

A

CECUM
ASCENDING
TRANSVERSE
DESCENDING
SIGMOID
RECTUM
ANUS

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2
Q

It is bounded by internal and external
sphincter muscle

A

ANAL CANAL

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2
Q

pouches in large intestine due to
longitudinal muscles shorter than colon.

A

HAUSTRA

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2
Q

wavelike movement w/c propels
intestinal contents forward

A

PERISTALSIS

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2
Q

Normal defecation is facilitated by

A

THIGH FLEXION
SITTING POSITION

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2
Q

Expulsion of feces from anus and rectum

‘Bowel movement’

A

DEFECATION

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2
Q

largely air and the by-products of the
digestion of CHO

A

FLATUS

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2
Q

3 Types of Movement in colon

A
  1. HAUSTRAL CHURNING
  2. PERISTALSIS
  3. MASS PERISTALSIS
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2
Q

– wave of powerful muscular
contraction that moves over large areas of colon

A

MASS PERISTALSIS

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2
Q

movement of chyme back & forth within haustra

A

HAUSTRAL CHURNING

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2
Q

Distended veins in rectum due to
pressure

A

HEMORRHOIDS

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2
Q

Gas-producing foods

A

cabbage, onions, cauliflower, bananas, and apples

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3
Q

Feces is normally made of ____ water, ___ solid materials

A

75% water, 25% solid materials

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3
Q

FACTORS THAT AFFECT COLOR OF FECES

A

Stercobilin & Urobilin

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3
Q

The first fecal matter of newborns

A

MECONIUM

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3
Q

When the baby has ingested poop, it is called

A

MECONIUM STAINING

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3
Q

Poop that follow for about a
week. Greenish-yellow, loose and
contain mucus

A

TRANSITIONAL STOOLS

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3
Q

increased peristalsis of the colon after food has entered the stomach

A

GASTROCOLIC REFLEX

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3
Q

2 Classifications of Fiber

A

SOLUBLE
INSOLUBLE

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3
Q

slows down normal colonic movements by blocking parasympathetic stimulation to colon muscles

A

GENERAL ANESTHESIA

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4
Q

promotes movement of material through digestive system and
adds stool bulk

A

INSOLUBLE FIBER

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4
Q

FECAL ELIMINATION PROBLEMS

A

DIARRHEA
CONSTIPATION
FECAL IMPACTION
BOWEL INCTINENCE
FLATULENCE

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4
Q

Recommended fluid intake

A

2,000-3,000 mL (6-8 glasses)

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4
Q

Poorly functioning anal sphincter can lead to

A

FECAL INCONTINENCE

4
Q

Collection of hardened feces in the folds of rectum

A

FECAL IMPACTION

5
Q
  • Fewer than 3 bowel movements per week
  • Passage of dry, hard stool or the passage of no
    stool
A

CONSTIPATION

5
Q

Passage of liquid feces and an increased frequency of defecation.

A

DIARRHEA

6
Q

Loss of voluntary ability to control fecal and gaseous discharges thru anal sphincter

A

BOWEL INCONTINENCE

7
Q
  • Presence of excessive flatus in the intestines
A

FLATULENCE

7
Q

opening for the gastrointestinal, urinary, or respiratory tract onto the skin

A

OSTOMY

8
Q

opening through the abdominal
wall into the stomach

A

GASTROSTOMY

9
Q

opens through the abdominal wall
into the jejunum

A

JEJUNOSTOMY

10
Q

opens into the colon

A

COLOSTOMY

10
Q

to divert and drain fecal material

A

BOWEL OSTOMIES

11
Q

provides means of elimination when rectum/anus is nonfunctional

A

PERMANENT COLOSTOMY

11
Q

opening created in the abdominal wall by the ostomy

A

STOMA

12
Q

performed for traumatic injuries or inflammation of bowel

A

TEMPORARY COLOSTOMY

13
Q

Introduction of solution to rectum and large intestine

A

ENEMA

13
Q

portable chair w/ a toilet seat and a
receptacle that can be emptied

A

COMMODE

13
Q

receptacle for urine and feces

A

BEDPAN

14
Q

Drugs that INDUCE defecation. They can have a strong, purgative effect

A

CATHARTICS

15
Q

Example of Cathartics

A

CASTOR OIL
CASCARA

15
Q

Mild in comparison to a cathartic, and
it produces soft or liquid stools that are sometimes accompanied by
abdominal cramps

A

LAXATIVES

15
Q

Type of laxative inserted directly to the anus

A

SUPPOSITORIES

15
Q

Types of enemas

A
  1. CLEANSING
  2. CARMINATIVE
  3. RETENTION
  4. RETURN-FLOW
16
Q

Are herbal oils known to act as
agents that help expel gas from the stomach and intestines

A

CARMINATIVES

17
Q

Enema to remove feces

A

CLEANSING ENEMA

18
Q

introduces oil or medication
to rectum and sigmoid colon

A

RETENTION ENEMA

19
Q

to expel flatus

A

CARMINATIVE ENEMA

20
Q

Also called Harris flush. Occasionally used to expel flatus

A

RETURN-FLOW ENEMA

20
Q

physiological (normal) saline, are
considered the safest enema solutions to use. They exert the same osmotic pressure as the interstitial fluid surrounding the colon. Therefore, there is no fluid movement into or out of the colon.

A

ISOTONIC SOL’N

20
Q

given to cleanse as much of the colon as possible

A

HIGH ENEMA

20
Q

exert osmotic pressure, which draws
fluid from the interstitial space into the colon

A

HYPERTONIC SOLUTIONS

20
Q

stimulate peristalsis by increasing the volume in the colon and irritating the mucosa

A

SOAPSUDS ENEMA

21
Q
  1. A client is scheduled for a colonoscopy. The nurse will provide
    information to the client about which type of enema?
  2. Oil retention
  3. Return flow
  4. High, large volume
  5. Low, small volume
A

4

21
Q
  1. Which goal is the most appropriate for clients with diarrhea
    related to ingestion of an antibiotic for an upper respiratory
    infection?
  2. The client will wear a medical alert bracelet for antibiotic
    allergy.
  3. The client will return to his or her previous fecal elimination
    pattern.
  4. The client will verbalize the need to take an antidiarrheal
    medication prn.
  5. The client will increase intake of insoluble fiber such as
    grains, rice, and cereals.
A

2

21
Q

used to clean the rectum and sigmoid colon only

A

LOW ENEMA

21
Q
  1. Clients should be taught that repeatedly ignoring the sensation
    of needing to defecate could result in which of the following?
  2. Constipation
  3. Diarrhea
  4. Incontinence
  5. Hemorrhoids
A

1

22
Q
  1. Which statement provides evidence that an older adult who is
    prone to constipation is in need of further teaching?
  2. “I need to drink one and a half to two quarts of liquid
    each day.”
  3. “I need to take a laxative such as Milk of Magnesia if I don’t
    have a BM every day.”
  4. “If my bowel pattern changes on its own, I should call you.”
  5. “Eating my meals at regular times is likely to result in regular
    bowel movements.”
A

2

22
Q
  1. The nurse is most likely to report which finding to the primary
    care provider for a client who has an established colostomy?
  2. The stoma extends 1/2 in. above the abdomen.
  3. The skin under the appliance looks red briefly after removing
    the appliance.
  4. The stoma color is a deep red-purple.
  5. The ascending colostomy delivers liquid feces.
A

3

23
Q
  1. A client with a new stoma who has not had a bowel movement
    since surgery last week reports feeling nauseous. What is the
    appropriate nursing action?
  2. Prepare to irrigate the colostomy.
  3. After assessing the stoma and surrounding skin, notify the
    surgeon.
  4. Assess bowel sounds and administer antiemetic.
  5. Administer a bulk-forming laxative, and encourage increased
    fluids and exercise
A

2

24
Q
  1. The nurse assesses a client’s abdomen several days after abdominal surgery. It is firm, distended, and painful to palpate. The
    client reports feeling “bloated.” The nurse consults with the surgeon, who orders an enema. The nurse prepares to give what
    kind of enema?
  2. Soapsuds
  3. Retention
  4. Return flow
  5. Oil retention
A

3

25
Q
  1. Which of the following is most likely to validate that a client is
    experiencing intestinal bleeding?
  2. Large quantities of fat mixed with pale yellow liquid stool
  3. Brown, formed stools
  4. Semisoft black-colored stools
  5. Narrow, pencil-shaped stool
A

3

26
Q
  1. Which nursing diagnoses is/are most applicable to a client with
    fecal incontinence? Select all that apply.
  2. Bowel Incontinence
  3. Risk for Deficient Fluid Volume
  4. Disturbed Body Image
  5. Social Isolation
  6. Risk for Impaired Skin Integrity
A

1,3,4,5

RLE-107 (5 decks)

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