28 Bowel Elimination

Question 1

Where does the GI tract start and end?

Answer 1

mouth—>anus

Question 2

How does the food travel from the esophagus to the stomach?

Answer 2

peristalsis

Question 3

What are the three chemicals is the stomach?

Answer 3

HCl, pepsin, gastric lipase

Question 4

What are the three parts of the small intestines?

Answer 4

duodenum, jejunum, illeum

Question 5

Mostly digestion and some absorption

Answer 5

small intestine

Question 6

mostly absorption

Answer 6

large intestine

Question 7

what does the large intestine absorbs?

Answer 7

water, vit, min

Question 8

what have cilli and microvilli and with do they do?

Answer 8

small intestines, increase surface tension

Question 9

what is the large intestine also known as?

Answer 9

the colon

Question 10

what are the parts of the large intestine?

Answer 10

cecum, ascending colon, transverse colon, descending colon, sigmoid, rectum, anus

Question 11

for someone who has diarrhea what are they most likely to have

Answer 11

fecal incontinence pouch

Question 12

what initiate the contraction of sigmoid colon/rectal muscles?

Answer 12

stretch receptors

Question 13

what sphincter is involuntary?

Answer 13

internal anal sphincter

Question 14

what sphincter is voluntary?

Answer 14

external anal sphincter

Question 15

what cause voluntary “bearing down”

Answer 15

sensory impulses

Question 16

free from appliance

Answer 16

kock notch

Question 17

normal flora in the colon aid in digestion and produce

Answer 17

vit K and B

Question 18

what makes feces brown?

Answer 18

bile salts reacting with bacteria

Question 19

gas is also know as

Answer 19

flatus

Question 20

what is stool consisted of

Answer 20

75%water and 25%solid

Question 21

bowel movement is also know as

Answer 21

defecation

Question 22

voluntary bearing down to expel feces while maintaining a closed airway. Slows heart rates, increases BP, causes on surgical incisions

Answer 22

Valsalva Maneuver

Question 23

vomiting is also known as

Answer 23

reverse peristalsis

Question 24

What two minerals can constipate?

Answer 24

Ca and Fe

Question 25

anesthesias can cause

Answer 25

constipation

Question 26

What is newborns stool called?

Answer 26

meconium green black and sticky

Question 27

breast fed infants stool

Answer 27

runny yellow

Question 28

cessation of peristalsis

Answer 28

paralytic ileus

Question 29

when patches of the colon become inflamed

Answer 29

diverticulitis

Question 30

pregnancy ______ bowel elimination

Answer 30

decreases

Question 31

to avoid continuous drainage; pt inserts a tube several times/day

Answer 31

kock pouch

Question 32

colon removed pt eliminates through rectum liquid

Answer 32

total colectomy

Question 33

brings portion of colon to opening in abdomen; location determine consistency

Answer 33

colostomy

Question 34

2 stomas

Answer 34

double barrelled

Question 35

high-pitched, 5-15q minute

Answer 35

normal

Question 36

very high-pitched, increased frequency

Answer 36

hyperactive

Question 37

low-pitched, infrequent

Answer 37

hypoactive

Question 38

no sound in 3-5 minutes

Answer 38

absent

Question 39

when does colonoscopy screening begin?

Answer 39

age 50

Question 40

view colon

Answer 40

colonoscopy (direct)

Question 41

view sigmoid

Answer 41

sigmoidoscopy (direct)

Question 42

view for impaction, mass, air

Answer 42

flat plate - radiographic (indirect)

Question 43

blue blood test

Answer 43

+ for blood

Question 44

how to test for parasites?

Answer 44

tape butt

Question 45

what can cause a false - blood test?

Answer 45

vit c

Question 46

what can cause a false + blood test?

Answer 46

Iron, red meat

Question 47

if someone is taking an antiacid for heartburn they will most likely experience

Answer 47

constipation

Question 48

what are some things that increase peristalsis?

Answer 48

vit c caffeine yogurt Magnesium

Question 49

before giving someone a hypertonic solution you should check what levels?

Answer 49

BUN and creatine

Question 50

opoids cause

Answer 50

constipation

Question 51

when a pt admits to taking laxatives

Answer 51

perceived constipation

Question 52

how much fiber should we intake

Answer 52

25-30g/day

Question 53

what can cause an inaccurate blood fecal occult?

Answer 53

menstruation vit c red meat iron

Question 54

how much water is recommended daily?

Answer 54

8-10 8oz glasses

Question 55

if someone is using a bed pan what position should they be in?

Answer 55

semi fowler's position

Question 56

people should try to go to the restroom after

Answer 56

each meal

Question 57

when should you see a PCP?

Answer 57

``` blood in stool severe abdominal pain change in bowel habits unintended weight loss unrelieved constipation ```

Question 58

What should you monitor with diarrhea?

Answer 58

stools fluid balance electrolyte balance skin

Question 59

What should someone with diarrhea's eating pattern look like?

Answer 59

BRATS, clear liquid (sips), yogurt | avoid spicy, greasy, high-fat,caffeine, fiber

Question 60

What is antidiarrheal meds not recommended for?

Answer 60

acute diarrhea

Question 61

what are antidiarrheal meds?

Answer 61

lomotil and immodium

Question 62

when someone has diarrhea you should increase the fiber intake to

Answer 62

25-38g/day

Question 63

large volume of removing feces

Answer 63

cleansing enema

Question 64

small volume to be retained (oil, carminative, meds, nutrition)

Answer 64

retention

Question 65

small volume, multiple, with rectal tube

Answer 65

return-flow

Question 66

what facilitates passage of gas?

Answer 66

rectal tube

Question 67

if someone has a lot of gas what enema would you give them?

Answer 67

return-flow

Question 68

What is specific about disimpacting?

Answer 68

must have prescription

Question 69

why should you have a prescription?

Answer 69

may stimulate vagus nerve--->slow heart

Question 70

What food trigger flatulence?

Answer 70

``` broccoli onions cauliflower beans cabbage spicy food ```

Question 71

You would report to MD if stoma is

Answer 71

black, dusky, pale, dry, or sloughing tissue

Question 72

Never refer to diaper as a

Answer 72

diaper

Question 73

Which enemas would you hold in longer?

Answer 73

hypotonic and isotonic

Question 74

which enema would you not hold as long

Answer 74

hypertonic