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