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Chapter 23
Bowel Elimination
| Question | Answer |
|---|---|
| What is the term for the semi-solid mass of waste products in the colon that is expelled through the anus? | Feces |
| What is the alternating contraction and relaxation of intestinal muscles that moves feces through the intestines? | Peristalsis |
| What is the process of excreting feces from the rectum through the anus? | Defecation |
| What is the term for excreted feces? | Stool |
| Bowel movement _______________ depends of each person. | Frequency |
| Stools are normally ___________ in color. | Brown |
| Stools are normally __________, formed, moist, and shaped like the rectum. | Soft |
| The normal odor of stools is caused by ______________ action in the intestines. | Bacterial |
| Factors affecting bowel elimination include _____________ because most people find bowel elimination sounds and odors embarrassing. | Privacy |
| Factors affecting bowel elimination include a diet of ________ - _______ foods that leave a residue needed for bulk. | High-fiber |
| Foods that provide ____________ help prevent constipation. | Fiber |
| Factors affecting bowel elimination include consuming gas-forming foods that stimulate ______________. | Peristalsis |
| Factors affecting bowel elimination include drinking 6-8 glasses of ____________ to promote normal elimination. | Water |
| Feces harden and __________ when large amounts of water are absorbed or when fluid intake is poor. | Dry |
| Hard, dry feces move slowly through the colon and can cause ______________. | Constipation |
| Factors affecting bowel elimination include getting plenty of exercise because it helps to maintain muscle tone and stimulate ______________. | Peristalsis |
| The passage of a hard, dry stool is called ___________. | Constipation |
| What is the prolonged retention and buildup of feces in the rectum? | Fecal impaction |
| Fecal impaction can occur is constipation is not ____________. | Relieved |
| With a fecal impaction, ___________ feces pass around the hardened fecal mass in the rectum. | Liquid |
| The nurse does a _____________ exam to check for an impaction. | Digital |
| A ______________, gloved finger is inserted into the rectum to feel for a hard mass. | Lubricated |
| When the nurse removes the fecal mass with a gloved finger it is called the ______________ removal of an impaction. | Digital |
| What is the frequent passage of liquid stool? | Diarrhea |
| Abdominal ______________, nausea, and vomiting may occur with diarrhea. | Cramping |
| Safety and comfort during bowel elimination involves providing for _______________. | Privacy |
| Factors affecting bowel elimination include positioning the person in a normal ___________ or squatting position. | Sitting |
| Safety and comfort during bowel elimination involves placing the ______ _________ and toilet tissue within reach. | Call light |
| Safety and comfort during bowel elimination involves checking on the person every __________ minutes if they can be left alone. | Five |
| Safety and comfort during bowel elimination involves providing _____________ care after bowl movements. | Perineal |
| Safety and comfort during bowel elimination involves ____________ of stools promptly to reduce odors and prevent the spread of microbes. | Disposing |
| Safety and comfort during bowel elimination involves assisting the person with ___________ washing. | Hand |
| What is gas or air passed through the anus called? | Flatus |
| What is the excessive formation of gas or air in the stomach and intestines called? | Flatulence |
| Causes of flatulence include ______________ air while eating and drinking. | Swallowing |
| Causes of flatulence include bacterial action in the ______________. | Intestines |
| Causes of flatulence include consumption of ______-____________ foods like onions, beans, cabbage, cauliflower, radishes, and cucumbers. | Gas-forming |
| Exercise, walking, moving in bed and the __________ side-lying position often produce flatus. | Left |
| Meals, especially _______________, stimulate the urge for a bowel movement. | Breakfast |
| What is a cone-shaped, solid medication that is inserted into a body opening? | Suppository |
| A bowel movement usually occurs about ______________ minutes after inserting a suppository. | Thirty |
| What is an introduction of fluid into the rectum and lower colon called? | Enema |
| Who orders enemas? | Doctors |
| Doctors order enemas to remove ____________. | Feces |
| Doctors order enemas to ___________ constipation, fecal impaction, or flatulence. | Relieve |
| Doctors order enemas to ____________ the bowel of feces before certain surgeries and diagnostic procedures. | Clean |
| Safety and comfort measures for giving enemas include positioning the person as the ____________ directs. | Nurse |
| The _________ position or the left side-lying position is the preferred position for enemas insertion. | Sims' |
| What type of enema is a solution of salt and water? | Saline |
| A ____________ enema takes effect in about 10-20 minutes. | Cleansing |
| Tap water enemas can be dangerous because the colon may absorb some water into the bloodstream creating a fluid ________________. | Imbalance |
| What type of enema solution is similar to body fluid? | Saline |
| What type of enema can irritate the bowel's mucous lining? | Soapsuds |
| When giving a cleansing enema, you should ____________ the tube 2-4 inches into the adult's rectum. | Insert |
| When giving a cleansing enema, you should ____________ the tube if the person needs to have a BM, has cramping, or starts to expel solution. | Clamp |
| When giving a cleansing enema, you should clamp the tube if the person is sweating or complains of __________ or weakness. | Nausea |
| When giving a cleansing enema, you need to keep the results until the _____________ observes them. | Nurse |
| Small-volume enemas irritate and distend the rectum to cause a BM and are often ordered to treat _________________. | Constipation |
| Small-volume enemas usually take effect in about 5-_____ minutes. | Ten |
| Oil-_____________ enemas are used to relieve constipation and fecal impactions. | Retention |
| Oil retention enemas are retained for 30 to _____ minutes or longer (1-3 hours). | 60 |
| What is a surgically created opening between the colon and abdominal wall? | Colostomy |
| The colostomy site depends on the _________ of disease or injury. | Site |
| Stool ____________ - liquid to formed - depends on the colostomy site. | Consistency |
| The more __________ remaining to absorb water, the more solid and formed the stool. | Colon |
| If the colostomy is near the ___________ of the colon, stools are liquid. | Start |
| A colostomy near the _________ of the colon results in formed stool. | End |
| Stools can _____________ the skin. | Irritate |
| Good skincare for persons with colostomies can prevent skin ____________ around the stoma. | Breakdown |
| An ____________ is a surgically created opening between the ileum and the abdominal wall. | Ileostomy |
| Liquid stools drain ______________ from an ileostomy. | Constantly |
| Many pouches have a _____________ at the bottom that closes with a clip, clamp, Velcro, or wire closure. | Drain |
| The drain of a colostomy pouch is opened to ____________ the pouch. | Empty |
| The colostomy pouch is emptied when ________ is present. | Stool |
| The colostomy pouch is open when it balloons or bulges with ___________ to allow the gas to escape. | Flatus |
| The pouch is _____________ every 3-7 days and when it leaks. | Changed |
| When a person has a colostomy they can prevent odors from the pouch by practicing good _____________. | Hygiene |
| When a person has a colostomy they can prevent odors from the pouch by _______________ the pouch. | Emptying |
| When a person has a colostomy they can prevent odors from the pouch by _______________ gas-forming foods. | Avoiding |
| When a person has a colostomy they can prevent odors from the pouch by putting _____________ into the pouch. | Deodorants |
| When a person has a colostomy they can wear ___________ clothes. | Normal |
| Peristalsis ______________ after eating and drinking. | Increases |
| Before _____________ is the best time of day to remove a colostomy pouch to change it or bathe. | Breakfast |
| Showers and baths are delayed for 1-2 hours after applying a new pouch to allow the ______________ time to seal to the skin. | Adhesive |
| Can you flush pouches down the toilet? | No |
| Stomas do not have ________________. | Sensation |
| Touching the stoma does not cause ___________ or discomfort. | Pain |
| Persons with ostomies can ____________ their own care if able. | Manage |
Created by:
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