67 terms

Ch. 22 Bowel Elimination

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Terms in this set (...)

Ostomy
a surgically created opening is a stoma or
Defecation
the process of excreting feces frot he rectum through the anus is a bowel movement or
Flatulence
the excessive formation of gas int hestomach and intestines
Suppository
a cone shpaed solid drug that is inserted into a body opening
Diarrhea
frequent passae of liquid stools
Fecal impaction
the prolonged retention and buildup of feces in the rectum
Dehydration
excessive loss of water from tissues
Flatus
gas or air passed thorugh the anus
Enema
the introduction of fluid into the rectum and lwoer colon
Stool
excreted feces
Colostomy
an artificial opening between the colon and abdominal wall
Peristalsis
alternating contraction and relaxation of intestinal muscles
Constipation
the passage of a hard dry stool
Fecal incontinence
the inability to control the passage of feces andg as through tehanus
stomas
an surgically created opening is an ostomy or
Feces
semi-solid mass of waste products in the colon
Ilesostomy
artifical opening between the ileum and the abdominal wall
People nomrlaly have a bowel movement
every day, every 2-3 days, 2 or 3 times a day
Bleeding the stomach and small intestines causes stool to be
black
The characteristic odor of stool is caused by
bacterial action in the intenstines
When you observe stool that is abnormal
ask the nurse to observe the stool
Which of these could interfere with defecation
having others present in a semi-private room
A person who must stay in bed most of the time may have irregular elimination and constpiation because of
inactivity
Which of these would privde safety for the person during bowel eliination?
place the signal light and toilet tissue within the person's reach
constipation can be relieved by
increasing activity
A person tries several times to have a bowel omvement and cannot. Liquid feces seeps from the anus. This may mean he has
a fecal impaction
When a fecal impaction is present, it may be relieved by
removing the fecal mass with a gloved finger
If you are delegated to remove a fecal impaction, you should make sure
your state allows you to perform such procedures, the procedures are in your job description, you have the necessary education and training
Good skin care is important when a person has diarrhea because
Skin breakdown and pressure ulcers are risks
Why is diarrhea very serious in older persons?
It can cause dehydration and death
When fecal incontinence occurs, the person may need all of these except
increased fluid intake
if flatus is not expelled, the person may complain of
abdominal cramping or pain
which of these is not a goal of bowel training
to give laxatives daily to maintain regular bowel movements
when bowel trianing is planned, which of these is included in the care plan?
the usual tiem of day the person has a bowel movement
when the nurse delegates you to prepare a soap suds enema, mix
3-5 mL of castile soap is 500-1000 mL of tap water
when you give a cleansing enema, it should be given to the person
over about 10-15 minutes
The person receiving an enema is usually placed in a
side-lying or supine position
When you prepare and give an enema to an adult, you will do all of these except
prepare the solution at 110 F
When the doctor orders enemas until clear
ask the nurse how many enemas to give
If you are giving an enema and the person compalins of cramping
Clamp the tube until the crampign subsides
If you are giving a cleansing enema to a child, which of the following correct?
a saline enema is used when giving a cleansing to a child
When giving a small volume enema, do not release pressure on the bottle because
solution will be drawn back into the bottle
when gving a small volume enema
insert the enema tip 2 inches into the rectum
an oil retention enema is given to
soften the feces and lubricate the rectum
If you feel resistance when you are giving an enema
stop tube insertion
when you are caring for a person with an ostomy, you know
the stoma does not have sensation and touching does not cause pain
which of these statements is true about an ileostomy?
the skin around the ileostomy can be irritated by the digestive juices in the stool
When caring for a person with an ostomy, the pouch is
changed every 3-7 days and when it leaks
The best time to change the ostomy bag is before breakfast because
the stoma is les sliekly to expel feces at thsi time
WHen cleaning the skin aroudn the stoma, you use
gauze squares or washcloths and water or soap and other cleansing agent as directed byt he nurse
What 3 food groups are high in fiber?
fruits, vegetables, whoel grian cereals/bread
6 gas forming foods
onions, beans, cabbage, cauliflower, radishes, cucumbers
Drinking warm fluids such as coffee, tea, hot cide, and warm water will increase
Peristalsis
When checking and removing impactions, the vagus nerve may be stimulated. Why ist his dangerous?
can slow heart rate
Skin taht is dehydrated will be
flushed or dry
Urine is
dark and scant
Blood pressure
falls
Pulse and respirations
increased
When a nurse inserts a suppository for bowel training, how soon would you expect the person to defecate
30 mins later
How can cramping be prevented during an enema?
using correct water tmperature and give solution slowly
How long does it usually take for a tap-water, saline, or soapsuds enema to take effect
10-20 mins
a small volume enema contains
1000 mL of solution
A person should retain a small volume enema for
5-10 MINS
5 types of colostomies
sigmoid, descending, transverse, ascending, double barrel
Which colostomy will have the msot solid and formed stool
sigmoid
Which colostomy will have the most liquid stool
ascending
Which colostomy is a temporary colostomy
double-barrel