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CNA 2023
Chapter 23 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 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 through the anus |
| A colostomy is a surgically created opening between the ______ and abdominal wall. | colon |
| Feces move through the intestines by: | peristalsis |
| Which statement about normal elimination is correct? | Stools are normally brown. |
| Why does privacy affect elimination? | Bowel movements and sounds are embarrasing |
| Which foods are needed for bowel elimination? | Fruits and vegetables |
| Gas-forming foods aid defecation because they: | stimulate peristalsis |
| how many glasses of what does a person need daily to promote normal bowel elimination? | 6 to 8 |
| Which fluids increase peristalsis? | Warm fluids |
| Which slows the passage of feces through the intestines? | Some medications |
| You are assisting a resident with elimination. Which will promote comfort and safety? | Follow Standard Precautions and the Bloodborne Pathogen Standard |
| What is the usual position for defecation? | Sitting or squatting |
| A resident has finished defecating. Which 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 |
| A resident complains of constipation. If the person is constipated, you would expect her stools to be: | large or marble-sized. |
| What is a common time for bowel elimination? | After breakfast |
| You report to the nurse than a resident is complaining of constipation. The nurse holds a care conference to discuss the person's care plan. The following measures are discussed. Which could relieve constipation. | Offering the person tea and prune juice at breakfast |
| Which can occur if constipation is not relieved? | Fecal impaction |
| Which is a sign of fecal impaction? | Liquid feces seeping from the anus |
| Which is a symptom of fecal impaction? | 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. Which will not prevent odors and the spread of microbes? | Have the person use the commode |
| 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. The following measures are part of the care plan. Which should you do? | Give good skin care |
| Which is a cause of fecal incontinence? | Chronic illness |
| A resident complains of flatulence. The person has the following food choices. Which is a good choice to prevent excess flatulence? | Potatoes |
| A resident complains of flatulence. Which position often produces flatus? | Left side-lying |
| A resident complains of flatulence. The following measures are part of the person's care plan. Which should you do? | Have the person move about when in bed. |
| A bowel training program was developed for a resident. The person usually has a bowel movement after breakfast. When should you assist the person 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 all the following reasons except: | diarrhea |
| You know that enemas are: | given before certain surgeries and diagnostic procedures. |
| The doctor ordered a saline enema. What is added to the enema solution? | Salt |
| 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 position |
| How much enema solution is usually given to an adult? | 500 to 1000 ml |
| What temperature for an enema solution for adults usually is: | body temperature |
| How far is the enema tube usually inserted into the adult rectum? | 2 to 4 inches |
| How long can you anticipate it taking for a person to have results from a cleansing enema? | 10 to 20 minutes |
| A saline enema takes effect: | in 10 to 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 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. |
| Which statement about small-volume enemas is incorrect? | Pressure is released on the bottle during administration |
| Oil-retention enemas are retained for at least: | 30 to 60 minutes |
| After giving an oil-retention enema, the person is left in the ________ position. | Sims' or left side-lying |
| Which statement about colostomies is correct? | Good skin care is necessary because feces irritate the skin. |
| A person has an ileostomy. Which statement is correct? | The entire colon was removed. |
| You are emptying an ostomy pouch. Which is correct? | The drain at the bottom is opened. |
| A person has an ostomy pouch. The pouch is bulging from flatus. What should you do? | Open the pouch. |
| Istomy pouches are usually changed every: | 3 to 7 days |
| Which 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? | In 1 to 2 hours |
| As a nursing assistant, it is within your scope to administer an enema that contains a medication. | False |
| Ostomy pouches are disposed of by flushing them down the toilet. | False |
| touching an ostomy stoma causes pain and discomfort | False |
| Person with ostomies manage their own care if able | True |
| Oil-retention enemas are given for: | Constipation or fecal impaction |