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CNA 2016 C. 22*
Bowel Elimination
| Question | Answer |
|---|---|
| Fecal incontinence is the | inability to control the passage of feces and gas through the anus |
| Constipation is the | passage of a hard, dry stool |
| Defecation is the | the process of excreting feces from the rectum through the anus |
| Fecal impaction is the | prolonged retention and buildup of feces in the rectum |
| An enema is | the introduction of fluid into the rectum and lower colon |
| Flatulence is | the excessive formation of gas or air in the stomach and intestines. |
| Flatus is | gas or air passed though the anus |
| Which foods are needed for bowel elimination? | fruits and vegetables |
| Gas-forming foods aid defecation because they | stimulate peristalsis |
| How many glasses of water does a person need daily to promote normal bowel elimination? | 6-8 |
| Which fluids increase peristalsis? | warm fluids |
| What slows the passage of feces through the intestines? | some medications |
| You are assisting a resident with elimination. What will promote comfort and safety? | follow standard precautions and the blood borne pathogen standard |
| What is the usual position for defecation? | sitting or squatting |
| A resident has finished defecating. What will promote the person’s comfort? | assist with perineal care as necessary |
| A resident complains of constipation. If the person is constipated, you would expect her stools to be | hard and dry, large or marble sized |
| You report to the nurse that a resident is complaining of constipation. The nurse holds a care conference to discuss the person’s care plan. The following measures are discussed. What could relieve constipation? | offer the person tea and prune juice at breakfast |
| What can occur if constipation is not relieved? | fecal impaction |
| What are signs of fecal impaction? | liquid feces seeping from the anus, watery stools |
| The nurse did a digital removal of an impaction. This means that the nurse | used a lubricated, gloved finger to remove the impaction |
| A resident complains of diarrhea. The person needs assistance with ambulation. When the person’s call light is on, you need to | answer promptly |
| A resident has diarrhea. What will prevent odors and the spread of microbes? | practice standard precautions, follow blood borne pathogen standard, dispose of stools promptly. |
| A resident has diarrhea. You know that the person is at risk for | dehydration |
| A resident has diarrhea. You know that liquid feces and frequent wiping can lead to | skin breakdown |
| A person has fecal incontinence. Give the resident good | skin care |
| What are causes of fecal incontinence? | chronic illnesses |
| A resident complains of flatulence. The person has the following food choices. Potatoes are a good choice to prevent excess flatulence. | True |
| A resident complains of flatulence. Which position often produces flatus? | left side-lying |
| A resident complains of flatulence. Have them move about when in bed. | True |
| A bowel training program was developed for a resident. The person usually has a bowel movement after breakfast. When should you assist the person with elimination? | after breakfast |
| The nurse gave a resident a suppository. When should you expect the person to have a bowel movement? | in 30 minutes |
| Enemas are given for what reasons? | constipation, fecal impaction, flatulence |
| You know that enemas are given before certain surgeries and diagnostic procedures. | certain surgeries and diagnostic procedures. |
| The doctor ordered a saline enema. What is added to the enema solution? | salt |
| As a nursing assistant, it is not within your scope to administer an enema that contains a | medication |
| Giving an enema is delegated to you. Because of the end-of-shift report, the nurse will not be available to supervise you. What should you do? | Refuse to give the enema because the nurse is not available to supervise you |
| What is the preferred position for giving an enema? | Sims' or left side-lying |
| How much enema solution is usually given to an adult? | 500-1000 mL |
| Water temperature for an enema solution for adults usually is | Body temperature |
| How far is the enema tube usually inserted into the adult rectum? | 2-4 inches |
| How long can you anticipate it taking for a person to have results from a cleansing enema? | 10-20 minutes |
| A saline enema takes effect | in 10-20 minutes |
| Which enema is irritating to the bowel’s mucous lining? | soapsuds enema |
| You are preparing to give a saline enema. To remove air from the enema tube, you need to | let the solution flow through the tube |
| You are giving a saline enema. During the procedure, the person complains of cramping. What should you do? | clamp the tubing |
| Before disposing of the enema results, what should you do? | ask the nurse to observe the results |
| Pressure is _________on the enema bottle during administration. | maintained |
| Oil-retention enemas are given for | constipation or fecal impaction |
| Oil-retention enemas are retained for at least | 30-60 minutes |
| After giving an oil-retention enema, the person is left in the _____________ position. | sims or left side lying |
| Good ___________is necessary because feces irritate the skin. | skin care |
| A person has an ___________. The entire colon was removed. | ileostomy |
| You are emptying an ostomy pouch. The drain at the ___________is opened | bottom |
| A person has an ostomy pouch. The pouch is bulging from flatus. What should you do? | open the pouch |
| Ostomy pouches are usually changed every | 3-7 days |
| What will prevent ostomy pouch odors? | good hygiene |
| A person with an ostomy pouch wears | regular clothes |
| When is the best time to change an ostomy pouch? | before breakfast |
| You just applied a new ostomy pouch. When can the person shower or bathe? | 1-2 hours |
| Ostomy pouches are disposed of by | putting them in the biohazard bag |
| Touching an ostomy stoma causes pain and discomfort | False |
| Persons with ostomies manage their own care if able. | True |
| A colostomy is a surgically created opening between the ________ and abdominal wall | colon |
| Feces move through the intestines by | peristalsis |
| Stools are normally what color? | brown |
| Why does privacy affect elimination? | bowel movements and sounds are embarrassing |
| What is a common time for bowel elimination? | after breakfast |
Created by:
heatherhibbs
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