Geri Chapter 18
Terms in this set (33)
Introduction of a catheter into a body cavity or organ to inject or remove a fluid
Difficulty in passing stools or incomplete or infrequent passage of hard stools
The elimination of feces from the digestive tract through the rectum
The frequent passage of loose, watery stools
Drugs that promote the formation and excretion of urine
The introduction of a solution into the rectum for cleansing or therapeutic purposes
An accumulation of hardened feces in the rectum or sigmoid colon that the individual is unable to move or pass
Inability to control urination or defecation
Agents that promote bowel evacuation by increasing the bulk of the feces, softening the stool, or lubricating the intestinal wall
Of an organism living in or on and obtaining nourishment from another organism
The inability to urinate or defecate
These muscles enable healthy adults to hold larger amounts within the bladder until urination is convenient.
Gastrocolic reflex (Fill in)
Stimulates urge to defecate
What are the 2 reflexes? (Fill in)
Defecation and gastrocolic
How many mL of urine does it take to make the bladder send an urge to void? (Fill in)
List 3 types of pts who are at risk for bowel and bladder problems? (List)
List four nursing interventions for patients with incontinence? (LIST)
Assess elimination pattern
Show bathroom items
Assess fluid intake
Skin care for an older adult with diarrhea should include? (SATA)
Peri care immediately after
Pat dry peri and anal area
Leave excoriated areas in air
No lotion left on skin only barrier creams
Constipation conditions cause pain because these conditions are present? (SATA)
Reduction of bowel mucous
If fluid intake is inadequate, constipation occurs because?
Body absorbs water from stool
Stool becomes dry and less mucous formed in colon
Normal bowel stimulation patterns for elimination of each person is influenced by? SATA
Level of activity
What is a cardinal sign of stress incontinence?
Dribble or leak when lifting objects
Kegel exercises reduce incontinence by?
Strengthening urinary sphincter
Patient complains of the need to urinate, fullness and tenderness in bladder area, is diaphoretic and restless, the nurses initial intervention should be to?
Palpate bladder to check distention
By repeatedly ignoring the urge to defecate the defecation reflex can be destroyed? T/F
Which drug category would increase the risk of constipation?
Opioids and iron supplements
Establishing a toileting schedule is a proactive approach by the nurse to reduce episodes of bowel incontinence? T/F
The nurse must use special care when performing a rectal digital exam on a pt with: Why?
Because it might stimulate a vasovagal reaction
When a pt is taking psyllium (Metamucil) the home health nurse encourages him to increase his _______________ ______________ to ________________ a day.
Older adults are obsessed with what?
What food provides fiber and natural laxative?
What helps a bowel movement in the morning?
Warm beverage (Coffee)
A diagnosis for constipation must include 2 or more of the following symptoms for the past 3 months. Symptoms must have an onset of at least 6 months before the diagnosis. What are the S&S?
-Hard or lumpy stools
-Sensation of incomplete evacuation or of anorectal blockage
-Less than three defecations per week
-Loose stool rarely present without use of laxatives
-Use of manual maneuvers such as digital stimulation to facilitate defecation