Week 5: Bowel Elimination

Question 1

Constipating Medications (4)

Answer 1

Opioids, antacids, iron sulfate, anticholinergics

Question 2

Valsalva Maneuver Cautions (3)

Answer 2

Increases abdominal and thoracic pressure, decreases cardiac output, may cause syncope

Question 3

Medications Causing Diarrhea (3)

Answer 3

Antibiotics, magnesium, metformin

Question 4

Effects of Anticoagulants on Stool

Answer 4

Pink, red, or black stools

Question 5

Effects of Iron on Stool

Answer 5

Black stools

Question 6

Effects of Bismuth Subsalicylate (Pepto Bismol) on Stool

Answer 6

Black stools

Question 7

Types of Laxatives (5)

Answer 7

Stool softeners, osmotic laxatives, lubricant laxatives, stimulant laxatives, bulking agents

Question 8

Constipating Foods (5)

Answer 8

Cheese, lean meat, eggs, pasta, white bread

Question 9

Foods with Laxative Effect (6)

Answer 9

Fruits, vegetables, bran, chocolate, alcohol, coffee

Question 10

Gas-Producing Foods (4)

Answer 10

Onions, cabbage, beans, cauliflower

Question 11

Bowel Elimination Assessment Components (7)

Answer 11

Bowel habits, stool frequency, color, consistency, presence of pain, bloating, incontinence

Question 12

Abnormal Stool Colors and Causes (4)

Answer 12

Clay/white (↓ bile), Black/tarry (UGI bleeding), Red (LGI bleeding), Pale (fat malabsorption)

Question 13

Direct Bowel Visualization Studies (4)

Answer 13

EGD, Colonoscopy, Sigmoidoscopy, Wireless capsule endoscopy

Question 14

Indirect Bowel Visualization Studies (5)

Answer 14

UGI series, Barium enema, Abdominal ultrasound, MRI, CT scan

Question 15

Nasogastric Tube Uses (4)

Answer 15

Decompression, Drainage, Resting GI tract, Monitoring bleeding

Question 16

Types of Ostomies (5)

Answer 16

Colostomy (Sigmoid, Descending, Transverse, Ascending), Ileostomy

Question 17

Colostomy Diet Guidelines (6)

Answer 17

Low-fiber first 6-8 weeks, avoid nuts, corn, coconuts, mushrooms, skins, casings

Question 18

Colostomy Stool Consistency

Answer 18

Sigmoid/Descending (formed), Transverse (soft), Ascending (liquid), Ileostomy (liquid)

Question 19

Individuals at High Risk for Constipation (4)

Answer 19

Bedrest patients, low-fiber diet, depression, CNS disease

Question 20

Methods to Empty the Colon (4)

Answer 20

Enemas, Suppositories, Oral lavage, Digital removal

Question 21

Types of Enemas (6)

Answer 21

Cleansing, Retention, Oil, Carminative, Medicated, Anthelmintic

Question 22

Types of Retention Enemas (4)

Answer 22

Oil-retention (lubrication), Carminative (gas relief), Medicated (absorbed rectally), Anthelmintic (parasite removal)