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CNA 2023

Chapter 23 Bowel Elimination

QuestionAnswer
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
Created by: Healthtrade
 

 



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