Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Found of Nursin Ch20
Bowel Elimination, Enema, Ostomies
| Question | Answer |
|---|---|
| Defecation | Elimination of bowel wastes |
| Feces | normal Stool |
| Normal bowel elimination depends on what factors? | -balanced diet -fluid intake -peristalsis |
| Peristalsis | Rhythmic contractions of the intestine that propel gastric contents through the GI tract. |
| What should be the daily intake of fluids? | 2000 to 3000ml |
| How often should a person expell feces? | every 1 to 3 days |
| What factors are related to constipation? | dehydration, decreased activity, postsurgical ileus, and inadequate dietary fiber. |
| Why do some patients resist use of a bed pan or urinal? | Privacy |
| When using a bed pan, what should you keep in mind when dealing with childeren? | They may find the equipment threatening |
| Do hemorrhoids appear internally or externally? | Both |
| What is a main goal of a patient that has hemorrhoids when eliminating the bowels? | soft stools. This can be accomplished with proper diet, adequate fluids, and regular exercise. |
| What can provide relief for hemorrhoids? | localized heat |
| Flatulence | presence of air or gas in the intestinal tract. |
| Enema | The instillation of a solution into the rectum of the sigmoid colon for the purpose of evacuating the bowel or introducing medication. |
| What can cause a person to have flatulence? | Gas producing foods and liquids, decreased peristalsis, abdominal surgery, decreased physical activity, and some medications. |
| Distention | Swelling of the stomach and abdomen |
| The presence of a rectal tube can stimulate peristalsis and the movement of the flatus. True or False | True |
| What is the primary reason for an enema | to promote defication. |
| What are some reasons for giving an enema? | -stretch the rectal wall and initiate the defication reflex. -cleansing the colon -Break up fecal mass |
| What caution should patients use when utilizing an enema? | They should limit the number of enemeas to avoid their defication reflex becoming dependent on the enema due to repeated use. |
| What cultural consideration should a nurse be aware of with enema's? | Some cultures consider enema administration "EVIL". |
| Impaction | collection of feces in the rectum that forms a mass that becomes so large or hard that the patient is unable to pass it voluntarily. |
| What is the first step to take for a patient that is fecal incontinent? | Assess if fecal impaction is the cause and remove the impaction. |
| What does management of fecal incontinence include? | -patient education about diet -abdominal exercises -physical activity |
| colostomy | surgical creation of an artificial anus on the abdominal wall by incising the colon and bringing it out through the stoma on the abdominal surface. |
| What types of patients may have a colostomy? | -pts. with: *cancer of the colon *intestinal obstructions *intestinal trauma *inflammatory disease of the colon |
| All colostomies are permanent. True or False | False, some are permanent and some are temporary measures used until intestinal healing occurs. |
| ileostomy | surgical formation of an opening of the ileum onto the surface of the abdomen through which fecal matter is emptied. |
| Who is an ilieostomy performed on? | patiens with inflammatory bowel conditions and cancer of the large intestine. |
| urostomy | diversion of urine away from a diseased or defective bladder through a surgically cfreated opening or stoma in the skin. |
| How much time does a patient need to dedicate to colostomy irrigation? | 60 - 90 minutes. |
| What is the suggested maximum volume of an enema for an adult? | 750ml - 1000 ml |
| Even when an ostomy pouch is adhering well, it is best to change it at least every ___ to ___ days according to puch recommendations to allow for the observation of the stoma and peristomal skin. | 5 to 7 |
| Preoperatively the physician orders "enemas until clear." The maximum number of enemeas the nurse can give without further orders is how many? | three |
| When irrigating a colostomy, the nurse will use a cone that fits properly to prevent what? | Leaking of the solution from the stoma. |
| In the case of ostomies, some patients will have control over when they can evacuate their colon. True or False | True |
| Fecal impactions are best treated by what? | oil retention enemas |
| Which position is best for administering a cleasing enema? | Left Sims' |
| The nurse is administering a routine enema to an adult patient. The patient complains of cramping and the urge to deficate. What nursing intervention should the nurse carry out? | Briefly stop the instillation. |
Created by:
losmica
Popular Nursing sets