Name: Score:
73 Multiple choice questions
Definition 1 of 73
- Liquid fecal drainage
- Constant, cannot be regulated
- Drainage contains digestive enzymes which damage skin
- Odor is present due to bacteria
Permanent ostomy
Temporary ostomy
Descending ostomy
Ascending ostomy
Definition 2 of 73
- Monitor the nasal mucosa
- Client will be NPO (may give ice chips for dry mouth or sore throat)
- Maintain patency of tube (may need to flush with normal saline or water)
- Monitor output (can cause electrolyte imbalance)
- Assess for nausea/vomiting
Care of gastric tube
What is paralytic ileus?
Ascending ostomy
Loop colostomy
,Term 3 of 73
Fecal characteristics: shape
cylindrical
flat contact
spherical
conical
Definition 4 of 73
- Special cone tipped irrigator is used
- Never use an enema set
- Cone prevents bowel penetration and prevents back flow of irrigating solution
- Place irrigating sleeve over stoma
- Inflow 500-1000cc of tap water very slowly (at least 5-10 min)
- Output takes up to 45 minutes to 1 hour
Descending ostomy
How to obtain a stool specimen
Care of gastric tube
Irrigation of ostomy
,Term 5 of 73
A nurse is caring for a group of clients. Which client should the nurse determine provides the
greatest risk for bowel incontinence?
A. being ninety years old
B. taking a sedative to sleep
C. disoriented to time, place, and person
D. receiving multiple antibiotic medications
A. dehydration
D. absorption of fluid by stool
C. disoriented to time, place, and person
A. notify the healthcare provider
Term 6 of 73
How do medications alter bowel elimination?
- yellow, brown
- watery
"mustard looking with seeds"
- liquifies intestinal contents making it easier to pass through colon
- 2000 to 3000 cc non-caffeinated fluids daily
- fluid intake with fruit juices softens stool and increases peristalsis
- milk causes constipation and slows peristalsis
- Use same concept as large volume
- only use 120 cc of fluid
antibiotics = diarrhea
narcotics and iron = constipation
, Definition 7 of 73
- day 1 to 3
- black, sticky, tarry, odorless
Formula fed stool
Transitional stool
Meconium stool
Permanent ostomy
Term 8 of 73
Constipation producing foods
general anesthetic slows or stops peristalsis
onions, cauliflower, beans
- Low intermittent suction
- single lumen
cheese, pasta, eggs, and lean meat
Definition 9 of 73
Collection of hardened feces, wedged in rectum and can't be expelled
Causes → poor defecation habits, constipation, medication
Signs → inability to pass stool for several days, oozing of liquid stool, loss of appetite,
nausea/vomiting, pain
Treatment → digital examination, enemas, digital removal if enema fails
Continued treatment → daily enemas, suppositories or stool softeners
Common elimination problems: constipation
Constipation producing foods
Common elimination problems: fecal impaction
How does fluid alter bowel elimination?
73 Multiple choice questions
Definition 1 of 73
- Liquid fecal drainage
- Constant, cannot be regulated
- Drainage contains digestive enzymes which damage skin
- Odor is present due to bacteria
Permanent ostomy
Temporary ostomy
Descending ostomy
Ascending ostomy
Definition 2 of 73
- Monitor the nasal mucosa
- Client will be NPO (may give ice chips for dry mouth or sore throat)
- Maintain patency of tube (may need to flush with normal saline or water)
- Monitor output (can cause electrolyte imbalance)
- Assess for nausea/vomiting
Care of gastric tube
What is paralytic ileus?
Ascending ostomy
Loop colostomy
,Term 3 of 73
Fecal characteristics: shape
cylindrical
flat contact
spherical
conical
Definition 4 of 73
- Special cone tipped irrigator is used
- Never use an enema set
- Cone prevents bowel penetration and prevents back flow of irrigating solution
- Place irrigating sleeve over stoma
- Inflow 500-1000cc of tap water very slowly (at least 5-10 min)
- Output takes up to 45 minutes to 1 hour
Descending ostomy
How to obtain a stool specimen
Care of gastric tube
Irrigation of ostomy
,Term 5 of 73
A nurse is caring for a group of clients. Which client should the nurse determine provides the
greatest risk for bowel incontinence?
A. being ninety years old
B. taking a sedative to sleep
C. disoriented to time, place, and person
D. receiving multiple antibiotic medications
A. dehydration
D. absorption of fluid by stool
C. disoriented to time, place, and person
A. notify the healthcare provider
Term 6 of 73
How do medications alter bowel elimination?
- yellow, brown
- watery
"mustard looking with seeds"
- liquifies intestinal contents making it easier to pass through colon
- 2000 to 3000 cc non-caffeinated fluids daily
- fluid intake with fruit juices softens stool and increases peristalsis
- milk causes constipation and slows peristalsis
- Use same concept as large volume
- only use 120 cc of fluid
antibiotics = diarrhea
narcotics and iron = constipation
, Definition 7 of 73
- day 1 to 3
- black, sticky, tarry, odorless
Formula fed stool
Transitional stool
Meconium stool
Permanent ostomy
Term 8 of 73
Constipation producing foods
general anesthetic slows or stops peristalsis
onions, cauliflower, beans
- Low intermittent suction
- single lumen
cheese, pasta, eggs, and lean meat
Definition 9 of 73
Collection of hardened feces, wedged in rectum and can't be expelled
Causes → poor defecation habits, constipation, medication
Signs → inability to pass stool for several days, oozing of liquid stool, loss of appetite,
nausea/vomiting, pain
Treatment → digital examination, enemas, digital removal if enema fails
Continued treatment → daily enemas, suppositories or stool softeners
Common elimination problems: constipation
Constipation producing foods
Common elimination problems: fecal impaction
How does fluid alter bowel elimination?
