49 Fecal Elimination

Question 1

Chyme

Answer 1

Waste products leaving stomach through small Intestine to ileocecal valve

Question 2

Mucous secretion is stimulated by

Answer 2

Parasympathetic nervous system

Question 3

Flatus

Answer 3

Air and by products of the ingestion of carbohydrates

Question 4

3 types of movements In Large intestine

Answer 4

Haustral churning
Peristalsis
Mass peristalsis

Question 5

Haustral churning

Answer 5

Moving chyme in haustra

Question 6

Hemorrhoids

Answer 6

Veins in Anya become distended

Question 7

Make up of normal feces

Answer 7

75% water

25% solid

Question 8

Meconium

Answer 8

First fecal material passed by newborn.

Question 9

Gastronomic reflex

Answer 9

Increased peristalsis after food has entered stomach

Question 10

Insoluble fiber

Answer 10

Promotes movement through digestive system and increases stool bulk

Question 11

Soluble fiber

Answer 11

Dissolves in water. Lower cholesterol and glucose levels. Oats, peas, beans, citrus

Question 12

Constipation

Answer 12

Fewer than three BMs per week

Question 13

Valsalva maneuver

Answer 13

Straining during constipation, holding breath

Question 14

Clostridium difficile

Answer 14

Associated disease, which produces mucoid and foul smelling diarrhea

Question 15

Partial incontinence

Answer 15

Inability to control flatus or to prevent minor soiling

Question 16

Ostomy

Answer 16

Opening for the gastrointestinal, urinary or respiratory tract onto the skin

Question 17

Gastrostomy

Answer 17

Opening through the abdominal wall into the stomach

Question 18

Jejunostomy

Answer 18

Opens through the abdominal wall into jejunum

Question 19

Ileostomy

Answer 19

Opens into the ileum (small bowel)

Question 20

Colostomy

Answer 20

Opens into the large colon (large bowel)

Question 21

Single stoma

Answer 21

Permanent. One end of bowel is brought out through abdomen.

Question 22

Loop colostomy

Answer 22

Loop of bowel supported by plastic bridge or rubber . Two openings: proximal (afferent, active end) distal (efferent, inactive) emergency

Question 23

Divided colostomy

Answer 23

Two edges of bowel brought out onto abdomen but separate from each other.

Question 24

Double barreled colostomy

Answer 24

Shotgun, sutures 4 inches down

Question 25

Ileostomy produces

Answer 25

Liquid fecal drainage. Constant

Question 26

Ascending colostomy

Answer 26

Liquid, constant. Major odor

Question 27

Transverse colostomy

Answer 27

Malodorous, mushy drainage. No control

Question 28

Descending colostomy

Answer 28

Solid drainage. Frequency regulated.

Question 29

Sigmoidostomy

Answer 29

May not have to wear appliance at all times.

Question 30

Haustra

Answer 30

Longitudinal muscles shorter than the colon, causing the large intestine to have pouches

Question 31

Ileus

Answer 31

Surgery that involves direct handling of the intestines can cause temporary cessation of intestinal movement

Question 32

Four common problems related to fecal elimination

Answer 32

Constipation, diarrhea, bowel incontinence, flatulence

Question 33

Fecal impaction

Answer 33

Mass or collection of hardened feces in the folds of the rectum

Question 34

Emaciation

Answer 34

State of being abnormally thin and weak

Question 35

Nurse can help regular defecation by

Answer 35

``` Privacy Timing Nutrition, fluids Exercise Positioning ```

Question 36

Cathartics

Answer 36

Drugs that induce defecation

Question 37

Do not give laxatives to

Answer 37

Nausea, cramps, colic, vomiting, undiagnosed abdominal cramps

Question 38

Enema solution | Hypertonic

Answer 38

Draws water into Colon

Question 39

Enema solutions | Hypotonic

Answer 39

Distends colon, peristalsis and softens feces

Question 40

Enema solutions | Isotonic

Answer 40

Distended colon, peristalsis

Question 41

Enema solutions | Soap suds

Answer 41

Irritates mucosa, distended colon

Question 42

Enema solutions | Oil

Answer 42

Lubricant

Question 43

Carminatives

Answer 43

Herbal oils known to help expel gas from stomach and intestines

Question 44

Cleansing enema

Answer 44

Remove feces. Before surgery, scopy, impact, constipation

Question 45

Force of flow for enema

Answer 45

Height of solution container Size of tubing Viscosity of fluid Resistance of rectum

Question 46

Carminative enema

Answer 46

Expel flatus.

Question 47

Retention enema

Answer 47

Oil or medications into rectum and sigmoid colon Worms, parasites 1-3 hours

Question 48

Return-flow enema

Answer 48

Harris flush. Expel flatus Repeated