Bowel Elimination: Constipation and Fecal Incontinence Interventions
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Questions and Answers

Which type of catheter is usually used for weak detrusor muscle, blockage of urethra, and benign prostatic hyperplasia?

  • External catheter
  • Suprapubic catheter
  • Intermittent catheterization (correct)
  • Indwelling catheter

    • What is a concern associated with long-term use of an indwelling catheter?

  • Reduced risk of recurrent UTIs
  • Increased risk of urosepsis (correct)
  • Decreased risk of urethral damage in men
  • Lower risk of urethritis

    • Which of the following is NOT a factor that puts individuals at higher risk for catheter placement?

  • Cognitive impairment
  • More care needs
  • Pressure injuries
  • Healthy lifestyle habits (correct)

    • What is the normal timeframe for the evacuation of consumed food through bowel elimination?

    <p>48-72 hours</p> Signup and view all the answers

    What is constipation defined as?

    <p>Reduction in the frequency of stool or difficulty in formation or passage of stool</p> Signup and view all the answers

    What is the most devastating social consequence of bowel leakage/fecal incontinence?

    <p>Ramifications for the person and their family</p> Signup and view all the answers

    Which of the following is NOT a condition commonly associated with higher prevalence rates of bowel leakage/fecal incontinence?

    <p>Parkinson's disease</p> Signup and view all the answers

    According to the passage, which of the following is the preferred term for bowel leakage/fecal incontinence?

    <p>Accidental bowel leakage</p> Signup and view all the answers

    Which of the following is NOT an aspect of the assessment for bowel leakage/fecal incontinence mentioned in the passage?

    <p>Blood pressure and heart rate</p> Signup and view all the answers

    Which of the following is a nonpharmacological intervention for constipation mentioned in the passage?

    <p>Physical activity</p> Signup and view all the answers

    What effect can renal disease or urinary tract obstruction have on age-related changes in the renal system?

    <p>Amplify age-related decline in function</p> Signup and view all the answers

    Which statement accurately reflects the relationship between age and urinary incontinence (UI)?

    <p>Urinary incontinence is never a normal part of aging</p> Signup and view all the answers

    How can nurses contribute to enhancing continence and improving function in patients?

    <p>By implementing evidence-based assessment and interventions</p> Signup and view all the answers

    What is the consequence of severe elimination issues on an individual's ability to live independently?

    <p>Threaten the ability to continue independent living</p> Signup and view all the answers

    Which of the following best describes the impact of age-related changes on maintaining fluid homeostasis?

    <p>Age-related changes impair the body's ability to maintain fluid homeostasis</p> Signup and view all the answers

    Which of the following structures is NOT part of the urinary system?

    <p>Pancreas</p> Signup and view all the answers

    What is the primary function of the kidneys?

    <p>To filter waste and excess water from the blood</p> Signup and view all the answers

    Which of the following is a disorder of the urinary system?

    <p>Kidney stones</p> Signup and view all the answers

    What is the primary function of the large intestine?

    <p>To store and eliminate feces</p> Signup and view all the answers

    Which of the following is a disorder of the bowel system?

    <p>Fecal incontinence</p> Signup and view all the answers

    Which of the following is a common contributing factor to constipation in the elderly?

    <p>Decreased mobility and sedentary lifestyle</p> Signup and view all the answers

    What is a potential complication of untreated or unrecognized constipation in the elderly?

    <p>Fecal impaction</p> Signup and view all the answers

    Which of the following is NOT a recommended assessment for evaluating constipation in the elderly?

    <p>Assessing for urinary incontinence</p> Signup and view all the answers

    Which of the following interventions may be required for managing fecal impaction in the elderly?

    <p>Digital removal of impacted stool with lidocaine jelly</p> Signup and view all the answers

    Which of the following statements is true regarding the management of constipation in the elderly?

    <p>Identifying and addressing potential contributing factors is important</p> Signup and view all the answers

    Which of the following is NOT a recommended intervention for managing urinary incontinence?

    <p>Diuretic medications</p> Signup and view all the answers

    Which of the following statements about urinary incontinence is correct?

    <p>Up to 80% of incontinence cases can be cured or managed effectively.</p> Signup and view all the answers

    Which of the following is NOT mentioned as a surgical intervention for urinary incontinence in the text?

    <p>Artificial urinary sphincter</p> Signup and view all the answers

    Which of the following is true about urinary incontinence assessment?

    <p>It should be a multidimensional process including continence patterns, alterations, and contributing factors.</p> Signup and view all the answers

    Which of the following statements about pharmacological interventions for urinary incontinence is correct?

    <p>Anticholinergics and antimuscarinics are not considered first-line treatments.</p> Signup and view all the answers

    What is a quality indicator related to continence care in nursing homes?

    <p>Monitoring and documentation of continence status</p> Signup and view all the answers

    Which group is urinary tract infections (UTIs) 10 times more common in?

    <p>Women</p> Signup and view all the answers

    What is a common barrier to the implementation of toileting programs in LTC settings?

    <p>Inadequate staffing</p> Signup and view all the answers

    How is the diagnosis of symptomatic UTI determined?

    <p>Based on a combination of clinical features and laboratory evidence</p> Signup and view all the answers

    Which aspect makes the assessment and treatment of UTIs complex in older people?

    <p>Cognitive impairment</p> Signup and view all the answers

    What is the most common cause of bacterial sepsis (urosepsis) in older adults?

    <p>Urinary tract infections (UTIs)</p> Signup and view all the answers

    What is a key component in the nursing diagnosis and plan of care for urinary tract infections?

    <p>Assessment cues and vital signs monitoring</p> Signup and view all the answers

    'Persons may be cognitively impaired or do not present with classic symptoms' - Why is this statement significant in the context of UTIs?

    <p><em>Cognitive impairment can mask UTI symptoms</em></p> Signup and view all the answers

    'Tips for Best Practice Figure 16-11' - What does this figure likely provide guidance on?

    <p><em>Assessment best practices</em></p> Signup and view all the answers

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