C.N.A Chp. 21

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Terms in this set (...)

Colostomy
surgical operation in which a piece of colon is diverted to an artificial opening in the abdominal wall so as to bypass a damaged part of colon
constipation
condition in which there is difficulty in emptying the bowels
defecation
the discharge of feces from body
dehydration
lose more fluid than you take in
enema
procedure in which liquid or gas is injected into rectum to get a bowl movement
fecal impaction
large lump of dry, hard stool that stays stuck in rectum
fecal incontinence
the inability to control bowl movement
feces
waster matter discharge from the bowel after food has been digested
flatulence
the accumulation of gas in the canal
flatus
gas in or from the stomach or intestines
ileostomy
surgical operation in which a piece of the ileum is diverted to an artificial opening
ostomy
artificial opening in an organ of the body
peristalsis
the involuntary constriction and relaxation of the muscles of the intestine
stoma
an artificial opening made into a hallow organ
stool
a piece of feces
suppository
is a cone shaped solid medication that is inserted into a body opening
Why is diarrhea very serious in older person
A. it causes skin breakdown
B. it causes odors
C. it can cause dehydration
D. it increase activity
C. it can cause dehydration
when fecal incontinence occurs, the person may need all of these except
A. increased fluid intake
B. Bowel training
C. help with elimination after meals
D. incontinent products to keep garments and linens clean
C. help with elimination
if flatus is not expelled, the person may complain of
A. abdominal cramping or pain
B. Diarrhea
C. Fecal incontinence
D. Nausea
A. Abdominal cramping or pain
which of these is not a goal of bowel training
A. to give laxatives daily to maintain regular bowel movements
B. To gain control of bowel movements
C. to develop regular pattern of elimination
D. To prevent fecal impaction, constipation, and fecal incontinence
A. To give laxatives daily to maintain regular bowel movements
when bowel training is planned, which of theses is included in the care plan
A. the amount of stool the person expels
B. how many bowel movements the person has each day
C. the usual time and day the person has a bowel movement
D. the food that cause flatus
C. the usual time and day the person has a bowel movement
When the nurse delegates you to prepare a soapsuds enema, mix
A. 2 teaspoons of salt in 500-1000 ml of tap water
B. 3-5ml of castile soap in 500-1000ml of tap water
C. 2ml of castile soap in 500ml of tap water
D. mineral oil with sterile water
B. 3-5 ml of castile soap in 500-1000ml of tap water
When you give a cleansing enema, it should be given to the person
A. within 5 minutes
B. over about 30 minutes
C. in about 10-15 minutes
D. over about 15-20 minutes
D. over about 15-20 minutes
The person receiving an enema is usually placed in
A. supine position
B. Prone Position
C. Semi-Fowlers position
D. Side-lying or Sims' position
D. Side-lying or Sims' position
When you prepare and give an enema, you will do all of these except
A. Prepare the solution at 100f
B. insert the tubing 3 to 4 inches into the rectum
C. Hold the solution container about 12 inches about the bed
D. Lubricate the enema tip before inserting it into the rectum
A. prepare the solution at 100f
When the doctor orders enemas until clear
A. give one enema
B. give as many enemas as necessary to return a clear fluid
C. Ask the nurse how many enemas to give
D. give only tap water enemas
C. Ask the nurse how many enemas to give
If you are giving an enema and the person complains of cramping
A. tell the person its normal and continue to give the enema
B. Clamp the tube until the cramping subsides
C. discontinue the enema immediately and tell the nurse
D. lower the bag the level of the bed
B. clamp the tube until the cramping subsides
When giving a small volume enema, do not release pressure on the bottle because
A. it will cause cramping if pressure is released
B. Insert the enema tip 2 inches into the rectum
C. heat the solution of 105f
D. clamp the tubing if cramping occurs
B. insert the enema tip 2 inches into rectum
An oil-retention enema is given to
A. cleanse the bowel to prepare for surgery
B. regulate the person who is receiving bowel training
C. Relieve flatulence
D. Soften the feces and lubricate the rectum
D. Soften the feces and lubricate the rectum
If you feel resistance when you are giving an enema
A. lubricate the tube more thoroughly
B. Push more firmly to insert the tube
C. Stop and call nurse
D. Ask the person to take a deep breath and relax
C. Stop and call nurse
When you are caring for a person with an
ostomy
A. all of the stools are solid and formed
B. stomas do not have nerve endings and are not painful
C. An ostomy is always temporary and is reconnected after healing
D. a pouch is worn to protect the stoma
B. Stomas do not have nerve endings and are not painful
Which of these statement is true about an ileostomy
A. the stool is solid and formed
B. the stoma is an opening into the colon
C. The pouch is changed daily
D. The skin around the ileostomy can be irritated
D. the skin around the ileostomy can be irritated
When carrying for a person with a stoma, the pouch is
A. changed every 3 to 7 days and when it leaks
B. Changed daily
C. worn only when the person thinks he or she will have a bowel movement
D. Changed every time the person has bowel movement
A. Changed every 3 to 7 days and when it leaks
The best time to change the ostomy bag is before breakfast because
A. The stoma is less likely to expel stool at this time
B. the person has more time in the morning
C. it should be changed before morning care
D. the person tolerates the procedure better before eating
A. the stoma is less likely to expel stool at this time
When cleaning the skin around the stoma, you are
A. Sterile water and sterile gauze squares
B. Alcohol and sterile cotton
C. Gauze squares or washcloths and water or soap and other cleansing agent as directed by the nurse
D. Adhesive remover and sterile cotton balls
C. Gauze squares or washcloths and water or soap and other cleansing agent as directed by the nurse
You give the person with an ostomy the right of personal choice when you
A. Allow the person to manage the care when able
B. choose the time when care is done
C. Choose the care measures and equipment used
D. ask the nurse to determine the care to be done
A. Allow the person to manage the care when able
when observing stool, what should be reported to the nurse
color, amount, consistency, presence of blood, odor, shape, frequency of defecation, complain of discomfort
What three food groups are high in fiber
fruits, veggies, whole grain bread
name six gas-forming foods
onions, beans, cabbage, cauliflower, radishes, cucumbers
Drinking warm fluids such as coffee, tea, hot cider, and warm water will increase_____
peristalsis
How will dehydration affect these
skin is pale, flushed, dry
urine is dark and
low blood pressure
high pulse and respirations
Flatulence may be caused when the person ______ while eating and drinking
swallows air
when a nurse inserts a suppository for bowel training, how soon would you expect the person to defecate>
about 30 minutes
before giving an enema, make sure that
state allows you to give
procedure in job description
have necessary education and training
review procedure with nurse
nurse available to answer questions
After giving an enema, what should be reported and recorded
amount given
any bleeding or resistance
how long retained enema
c/o cramps/pain/discomfort
how procedures tolerated
color/amount/shape/odor
because you will likely contact stool while giving an enema, you should follow______ and ________
standard precautions, blood borne pathogens standards
how can cramping be prevented during an enema
correct temperature, give slowly
how long does it usually take for a tap-water, saline, or soapsuds enema to take effect
15-20 minutes
a small- volume enema irritates and distends the
rectum
a person should retain a small volume enema for
5-10 minutes
when you start to insert the tube to give an enema, ask the person to
take deep breaths
What can you place in the ostomy pouch to prevent odors
deodorant
showers and baths are delayed 1 to 2 hours after applying a new pouch to allow
adhesive time to stick on to the skin
name five types of colostomies
sigmoid
descending
transverse
ascending
Double- Barreled
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