lab 5

Question 1

temporary cessation of intestinal movement caused by direct handling of intestines during surgery

Answer 1

paralytic ileus

Question 2

a mass or collection of hardened, putty like feces in the folds of the rectum

Answer 2

fecal impaction

Question 3

left-side lying position

Answer 3

sims position

Question 4

an opening on the intestinal wall made to allow passage of urine or feces

Answer 4

ostomy

Question 5

the piece of intestines brought out onto the clients abdomen

Answer 5

stoma

Question 6

a stoma made from the large intestines or colon

Answer 6

colostomy

Question 7

urine or feces discharged through a stoma

Answer 7

effluent

Question 8

a stoma made from the sm intestine

Answer 8

ileostomy

Question 9

presence of excessive flatus in the intestines and leads to stretching and inflation of the intestines

Answer 9

flatulence

Question 10

a test for occult blood

Answer 10

guaiac test

Question 11

air or gas in the GI tract

Answer 11

flatus

Question 12

a form of stoma management similar to am enema, used only for pts who have sigmoid or descending colostomy

Answer 12

colostomy irrigation

Question 13

passage of feces from the digestive tract through the rectum

Answer 13

defecation

Question 14

the passage of liquid feces and an increased frequency of defecation

Answer 14

diarrhea

Question 15

difficult defecation, the passage of dry, hard fecal matter, fewer than 3 bowel movements per week

Answer 15

constipation

Question 16

the instillation of fluid into the rectum to stimulate peristalsis and remove feces or flatus from the colon

Answer 16

enema

Question 17

a rectal pouch placed around the anal area to collect large volumes of feces

Answer 17

fecal incontinence pouch

Question 18

excessive amount of fat in the stool

Answer 18

steatorrhea

Question 19

what are the characteristics of a healthy stoma?

Answer 19

stoma color
stoma size and shape
status of peristomal skin
amount and type of feces
symptoms

Question 20

what should the stoma color be?

Answer 20

The stoma should appear red, similar in color to the
mucosal lining of the inner - cheek. Very pale or darker colored
stomas with a bluish or purplish hue indicate impaired blood
circulation to the area

Question 21

what should the stoma size and shape be>

Answer 21

Most stomas protrude slightly from
the abdomen. New stomas normally appear swollen but
swelling generally decreases over to two to three weeks or
for as long as six weeks. Failure of swelling to recede may
indicate a problem, such as blockage.
Stomal bleeding: Slight bleeding initially when the stoma
is touched is normal, but other bleeding should be
reported

Question 22

what should the status of the peristomal skin be?

Answer 22

Any redness and irritation of the
peristomal skin- the 5 to 12.5 cm of skin surrounding the
stoma- should be noted. Transient redness after the removal
of adhesive is normal

Question 23

what should the amount and type of feces be?

Answer 23

For illleal effluent and feces
(Colostomy effluent), assess the amount, color, odor and
consistency. Inspect for abnormalities, such as pus or blood.
For a urinary diversion, assess the amount, color, clarity, and
odor of the urine.

Question 24

what are the bad symptoms of a stoma?

Answer 24

Statements of burning sensation under the flange may
indicate skin breakdown. The Presence of abdominal discomfort or
distention also needs to be determined, in addition the presence of
bowel sounds

Question 25

what is the output of a ileostomy?

Answer 25

liquid to mushy

Question 26

what is the output of a ascending colostomy?

Answer 26

liquid to mushy with foul odor

Question 27

what is the output of a right transverse colostomy?

Answer 27

mushy to semi formed

Question 28

what is the output of a left transverse colostomy?

Answer 28

semi formed to soft

Question 29

what is the output of a descending sigmoid colostomy?

Answer 29

soft to hard formed

Question 30

how often should a ostomy pouch be changed?

Answer 30

when they are 1/3 to 1/2 full