Week 9 Chapter 30 Flashcards

1
Q

How often should people defecate

A

Everyday or every 2 to 3 days
4 to 6 times a day
What is normal for your client

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2
Q

Constipation

A

Is passage of hard, dry stool with less frequency then normal

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3
Q

How long till it is a problem they haven’t defecated

A

3 days

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4
Q

Normal stool is

A

Brown
Soft
Formed
Moist
Shaped like the rectum

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5
Q

Best time to have a bowel movement

A

20-30 mins after breakfast

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6
Q

Why is that a good time to have a bowel movement

A

Has the most peristalsis

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7
Q

Peristalsis

A

Series of wave like muscles contractions that move food through the digestive tract

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8
Q

Fibre is good for

A

Adds Bulk to move the chyme through

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9
Q

How to promote regular bowl movement

A

Nutrition, fluids, and activity

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10
Q

What’s the maximum amount of time you can leave a person on a bedpan

A

20 mins

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11
Q

Hemorrhoids

A

Swollen veins in the anal canal

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12
Q

When should you don’t do the valsalva maneuver

A

When you have a heart condition

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13
Q

Chyme

A

Food and fluid that are Partially digested in the stomach

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14
Q

What can you do as a Psw for constipation

A

Dietary changes, fluid and activities
Medication and enemas

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15
Q

Signs of fecal impaction

A

Nausea, vomiting, cramping

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16
Q

Diarrhea

A

Frequent passage of liquid stool

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17
Q

What should you do if diarrhea persists

A

Isolation

18
Q

Diarrhea is dangerous for elderly why

A

They are already dehydrated

19
Q

Signs of dehydration

A

Dry mucus membrane
Less urine output
Dryer skin
Lower blood pressure
Cognitive impairments

20
Q

Fecal incontinence

A

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

21
Q

How often should you check briefs

A

Every three hours
Change right after they go

22
Q

Flatulence

A

Is excessive formation of gas or air in the stomach and intestines

23
Q

Goals of bowel training

A

To gain control of bowel movements
Develop a regular pattern of elimination

24
Q

Enema

A

The introduction of fluid into the rectum and lower colon

25
Q

Rectal tubes are inserted

A

Every 2 to 3 hours
Inserted in 10 cm
Stays there for 30 mins

26
Q

Ostomy

A

Surgically created opening

27
Q

Colostomy

A

Surgically created opening between the colon and the abdominal wall
Can be permanent or temporary

28
Q

Ileostomy

A

Surgically created opening between the ileum and the abdomen

29
Q

How often should you change a Ostomy bag

A

Every 3 to 7 days
Or when leaking or damaged

30
Q

Colon cancer is on the rise and when do they check for it

A

50 years old

31
Q

Fecal impaction

A

Prolonged retention and accumulation of feces in the rectum

32
Q

Digital removal of an impaction

A

Manually remove fecal mass with a gloved finger

33
Q

Relieve bloating

A

Exercise, walking, left-side-lying position to produce flatus

34
Q

Suppository

A

Is a cone-shaped, solid medication

35
Q

The more of the colon that the client has

A

The more solid and formed the stool will be

36
Q

Factors that affect bowel movements

A

Lack of privacy
Personal habit
Diet
Fluid
Activity
Medication
Aging
Disability

37
Q

If fecal impaction is not treated it can lead to what

A

Bowel obstruction

38
Q

Our most important role as a Psw

A

Observing how much fluid is lost

39
Q

Administering enemas is a

A

Delegated act

40
Q

What is the risk of diarrhea

A

Skin breakdown and pressure ulcers

41
Q

What is the risk of limited mobility

A

Constipation and fecal impaction