Term
| True or false: Decrease BM frequency is a normal part of aging. |
|
Definition
| True. Decrease in frequency does not always mean constipation. |
|
|
Term
| What foods promote regular bowel elimination? |
|
Definition
| Foods with fiber and cellulose content. |
|
|
Term
| Too much of what kind of food might cause loose stools? |
|
Definition
| Fruit. Dairy products for someone with lactose intolerance or wheat products for someone with a gluten allergy. |
|
|
Term
| Why does fluid intake affect bowel function. |
|
Definition
|
|
Term
| How does a sedentary lifestyle affect bowel function? |
|
Definition
| Sedentary people are 3x more likely to experience constipation. |
|
|
Term
| Ignoring the urge to defecate can result in what? |
|
Definition
| Constipation (or at least a harder, drier stool that is more difficult to pass) |
|
|
Term
| Why does surgery result in altered bowel function? |
|
Definition
| Anesthesia slows down motility. |
|
|
Term
| How soon after GI surgery would normal bowel function be expected to return? |
|
Definition
|
|
Term
| List the six most common types of altered bowel function. |
|
Definition
Constipation
Fecal impaction
Diarrhea
Fecal incontinence
Flatulence
Distention |
|
|
Term
| What are the three sources of gas that cause flatulence? |
|
Definition
1) Swallowed air
2) Bacterial action
3) Diffusion from blood |
|
|
Term
| What indicates a fecal impaction? |
|
Definition
| Absence of BM for 3-5 days followed by liquid stool incontinence |
|
|
Term
|
Definition
| Bowel is paralyzed for more than 72 hours |
|
|
Term
| How is progression of abdominal distension measured? |
|
Definition
| Mark X on abdomen to measure girth of same spot every time. |
|
|
Term
| Name of common test for blood in the stool. What type of stool should be avoided? |
|
Definition
| Fecal occult blood test (FOBT). Blue indicates positive test. Avoid stool with visible blood. |
|
|
Term
| What are the four bowel function related nursing diagnoses? |
|
Definition
Constipation
Perceived constipation
Diarrhea
Bowel incontinence |
|
|
Term
| What substance is used for a radiologic procedure of the bowel, and what complication can it cause? |
|
Definition
| Barium. Stools will be altered (white) until all barium is gone, and retained barium can cause fecal impaction. |
|
|
Term
| What 4 tests are used for colorectal cancer screening? |
|
Definition
| FOBT, colonoscopy, radiologic procedures, biopsies and polypectomies performed during colonoscopies |
|
|
Term
| What effect do narcotics, iron supplements, antibiotics and antacids have on bowel function? |
|
Definition
Narcotics and iron supplements = constipation
Antibiotics = diarrhea
Antacids = diarrhea or constipation |
|
|
Term
| What kind of solution is a small-volume enema? |
|
Definition
| Hypertonic, to draw water |
|
|
Term
| What is the purpose of an oil-retention enema? |
|
Definition
|
|
Term
| When is a small-volume enema usually given? |
|
Definition
| When an oral laxative didn't work or if quick evacuation is needed. |
|
|
Term
| What two kinds of solution can a large-volume enema be? How about for infants/small children? |
|
Definition
| Tap water or saline. Only saline for infants/small children. |
|
|
Term
| How much volume is usually in an enema to cleanse a bowel? |
|
Definition
|
|
Term
| What is the maximum adult volume for a large-volume enema? |
|
Definition
|
|
Term
| What is the function of a return-flow enema? |
|
Definition
|
|
Term
| Describe the return-flow enema process. |
|
Definition
| Nurse allows fluid to return into container when client indicates cramping. Repeat until no more flatus (bubbles) returned with fluid or client reports relief. |
|
|
Term
| How/why is a rectal tube used? |
|
Definition
| Inserted for 15-20 minutes to relieve flatus. |
|
|
