Found of Nursin Ch20 Word Scramble
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| 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. |
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losmica
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