Bowel Elimination

Question 1

Factors affecting bowel elimination

Answer 1

age, diet and fluid intake, physical activity, psychological factors, personal habits, position during defecation, pregnancy, surgery and anesthesia, medications laxatives and cathartics, diagnostic tests

Question 2

physical activity effect on bowel elimination

Answer 2

increases peristalsis

Question 3

age effect on bowel elimination

Answer 3

young and old

Question 4

diet and fluid intake effect on bowel elimination

Answer 4

need fiber and if too much fiber then constipation; need 6-8 glasses per day

Question 5

personal habits effect on bowel elimination

Answer 5

what we are used to

Question 6

psychological factors effect on bowel elimination

Answer 6

stress can effect elimination

Question 7

pregnancy effect on bowel elimination

Answer 7

tend to be constipated bc of fetus

Question 8

surgery and anesthesia effect on bowel elimination

Answer 8

problem related to anesthesia

Question 9

medications, laxatives, and catheters effect on bowel elimination

Answer 9

antibiotic can cause increase in peristalsis (ex. c. diff)

Question 10

paralytic ileus

Answer 10

transient condition, decrease peristalsis; listen closely to bowel sounds, 5-30 per minute

Question 11

common bowel eliminating problems

Answer 11

constipation, impaction, diarrhea, flatulence, incontinence, hemorrhoids

Question 12

impactions

Answer 12

Results from unrelieved constipation; passageway blocked, 1st patient complains of diarrhea

Question 13

diarrhea

Answer 13

Associated with disorders affecting digestion, absorption, and secretion in the GI tract; increase in stool, liquid; if under emotional stress than can have; if over intake of fluid, know pt will want to be alone

Question 14

incontinence

Answer 14

Inability to control passage of feces and gas to the anus; can also have psych effect

Question 15

flatulence

Answer 15

Accumulation of gas in the intestines causing the walls to stretch; get rid of gas by getting them up and moving

Question 16

hemorrhoids

Answer 16

Dilated, engorged veins in the lining of the rectum; can be internal or external

Question 17

nausea and vomiting are not

Answer 17

diagnosis

Question 18

biggest group of meds that causes diarrhea

Answer 18

antibiotic

Question 19

constipation

Answer 19

A symptom, not a disease; difficult to pass stool; pick up on whats not normal for pt concerning bm; don’t want some pts to try to bear down and have bm

Question 20

don’t want some pts to try to bear down and have bm, ex. ?

Answer 20

cardiac pts; valsalva maneuver stimulates vegas nerve and bp and pulse decrease

Question 21

valsalva maneuver

Answer 21

Bearing down with mouth and glottis closed; Causes increase intrathoracic pressure and vagus nerve stimulation- Causing decreased pulse rate, increased peristalsis & decreased blood return to the heart; Compensation also causes an increase in venous pressure

Question 22

bowel diversions

Answer 22

Temporary or permanent artificial opening in the abdominal wall (Stoma); Surgical opening in the ileum or colon (Ileostomy or colostomy); The standard bowel diversion creates a stoma

Question 23

Temporary or permanent artificial opening in the abdominal wall

Answer 23

Stoma

Question 24

Surgical opening in the ileum or colon

Answer 24

Ileostomy or colostomy

Question 25

The standard bowel diversion creates a

Answer 25

stoma