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