Bowel Elimination Flashcards

Question

complications of c diff

Answer 1

``` Dehydration Kidney failure Toxic megacolon Bowel perforation Death ```

Answer 2

Wash hands w/soap & water Avoid unnecessary use of antibiotics Clean surfaces with BLEACH Place in isolation – Contact D or SPORE

Answer 3

stool sample

Answer 4

``` Plenty of fluids & good nutrition Antibiotics Surgery Fecal implantation Probiotics ```

Answer 5

Inability to control passage of feces and gas from the anus

Answer 6

``` Muscle or nerve damage Any physical condition that impairs the anal sphincter function Constipation or diarrhea Large volume of stools Surgery Rectal prolapse ```

Answer 7

``` Age Female Nerve Damage Dementia Physical disability ```

Answer 8

body image disturbance | Skin Irritation

Answer 9

Anti-diarrheals | Bulk laxatives

Answer 10

Reduce constipation Control diarrhea Avoid straining

Answer 11

Expelled via mouth (burp) or rectum (flatulence

Answer 12

Abd distention Cramping Bloating Pain

Answer 13

Constipation Food intolerance GI disease: gastroenteritis, IBS, Crohns, Celiac Stress

Answer 14

Dilated or engorged veins in lining of rectum

Answer 15

Increased venous pressure from straining

Answer 16

external | internal

Answer 17

``` Proper diet & Fluids Activity If bleeding or irritation Ice Warm sitz bath Topical medications for swelling & pain ```

Answer 18

``` Race: African Americans Diet: High intake of red meat or processed meats Obesity being older than 50 physical inactivity history of inflammatory intestinal condition family history low fiber diet use of alcohol and tobacoo ```

Answer 19

``` Change in Bowel habits anal bleeding blood in stool abdominal pain loss of appetitie persistent lethargy pale or jaundiced unexplained wweight loss ```

Answer 20

every 5 yrs

Answer 21

every 10 years

Answer 22

every 5 years

Answer 23

every 1 year

Answer 24

every 1 year

Answer 25

every 3 years

Answer 26

Determine usual elimination pattern Description of stool How does individual defecate Dietary and fluid intake History of GI disorders or surgeries Medication history Emotional state Activity & mobility

Answer 27

Amount Color Odor Consistency Frequency Shape Constituents

Answer 28

Mouth Abdomen Rectum

Answer 29

``` Assess for presence of symptoms, precipitating factors & alleviating factors Nausea Vomiting Indigestion Diarrhea Constipation Bloating or cramping Abdominal pain Flatulence ``` Diet intake & tolerance Percentage of meals

Answer 30

``` Fecal Occult Blood Test (FOBT) Culture & sensitivity DNA Fats WBC Ova & Parasites (O&P) ```

Answer 31

Check for hidden blood Ordered to detect cancer or evaluate possible causes of unexplained anemia

Answer 32

aware of false positives

Answer 33

``` Constipation Chronic Functional Constipation Risk for Constipation Risk for Functional Constipation Diarrhea Risk for Electrolyte Imbalance Deficient Fluid Volume or Risk for Dysfunctional Gastrointestinal Motility or Risk for Bowel Incontinence Nausea Risk for Impaired Skin Integrity Disturbed Body Image Deficient Knowledge ```

Answer 34

``` Patient Family HCP Dietician WOC Nursing Assistant ```

Answer 35

Patient will have normal bowel elimination pattern

Answer 36

Promoting normal defecation Promoting regular exercise Promoting well balanced diet

Answer 37

cathartics & laxatives enemas antidiarrheal agents

Answer 38

Digital removal of stool Inserting & maintaining a NG tube Care of ostomies Bowel training Maintenance of proper food & fluid intake Management of fecal incontinence & diarrhea Maintenance of skin integrity

Answer 39

Meds that initiate or facilitate stool passage

Answer 40

PO or rectal

Answer 41

short term

Answer 42

cleanse the bowel for a GI dx test, procedure or surgery

Answer 43

potential harmful effects if overuse

Answer 44

Methylcellulose (Citrucel) Pysllium (Metamucil) Polycarbophil (Fibercon)

Answer 45

Docusate Sodium (Colace, Doss)

Answer 46

``` Saline- based Magnesium Citrate Magnesium Hydroxide (Milk of Magnesia) Sodium Phosphate (Fleet Phospho-Soda) Polyethylene Glycol (Miralax) Lactulose ```

Answer 47

Bisacodyl (Dulcolax) | Senna (Ex-Lax, Senokot)

Answer 48

slow rate by lowering height of bag

Answer 49

``` Fluid & electrolyte imbalance Tissue trauma Vagal nerve stimulation Abdominal pain/cramping Pain Perforation ```

Answer 50

Decrease intestinal muscle tone to slow the passage of feces Body absorbs more water Must determine cause of diarrhea

Answer 51

loperamide or diphenoxylate w/ atropine

Answer 52

caution b/c habit forming

Answer 53

``` Diarrhea & Fecal Incontinence Flatulence Impaction NG Tubes Bowel Training Food & Fluid Intake Maintenance Older Adults ```

Answer 54

``` Identify the problem & eliminate Provide soft easily digestible food Doesn’t mean to place on clear liquids Maintain fluid & electrolyte balance Prevent spread  practice good hand hygiene ```

Answer 55

Meticulous Skin Care Prevention & Monitoring for Dehydration Fecal Management Systems

Answer 56

* Meticulous skin care *Frequent Checks * Apply skin barrier * Consult WOCN

Answer 57

Avoid foods that cause gas Eat small, more frequent meals Eat & drink slowly

Answer 58

``` more insoluble fiber avoiid straws avoid laying down after eating limit carb intake limit carbonated drinks drink water exercise daily eat slow and mindfully ```

Answer 59

``` cabbage cauliflower beans oats apples milk fluffy wheat broccoli onions corn potatoes pears soft cheese peaches ```

Answer 60

``` Assess Digital Removal of Stool Nurse uses finger to break up fecal mass and removes it in sections VERY PAINFUL Risks involved ```

Answer 61

``` Decompression Enteral feeding or medication Administration Compression Lavage ```

Answer 62

``` Abdominal Respiratory Nose/skin Tube Suction ```

Answer 63

``` Verify HCP orders Assessment Verify Placement Know how to hook to suction Administration of feeding & medications Recording I&Os ```

Answer 64

``` Assessment & documentation Choosing patient-centered time Offer fluids to stimulate defecation around normal time Assistance in using commode Provide privacy Normal exercise regimen ```

Answer 65

Patients with chronic constipation or fecal incontinence

Answer 66

Set up daily routine Requires time, patience & consistency

Answer 67

frequency characteristics types of foods

Answer 68

whole grains legumes fresh fruits vegtables

Answer 69

fluid intake

Answer 70

``` Encourage screening Adequate fiber intake Adequate fluid intake Regular exercise program Older adults are less able to compensate from fluid loss from diarrhea ```

Answer 71

Evaluate patient’s ability and knowledge to care for themselves Evaluate dietary intake Evaluate fluid intake Evaluate activity Evaluate bowel patterns

Bowel Elimination Flashcards

(99 cards)