24 Questions
What is fecal incontinence also known as?
Bowel incontinence
What are the three primary sources of flatus?
Action of bacteria on the chyme in the large intestine, swallowed air, and gas that diffuses between the bloodstream and the intestine
What is an ostomy?
A surgical opening for the gastrointestinal, urinary, or respiratory tract onto the skin
What is the purpose of a gastrostomy?
To open through the abdominal wall into the stomach
What is a stoma?
The opening created in the abdominal wall by an ostomy
What is one of the key aspects of assessing bowel incontinence?
Inspecting the feces
What is a colostomy?
An opening into the colon
What is a key aspect of managing bowel incontinence?
Using continence aids such as a condom catheter
What is the primary goal of maintaining normal urinary elimination?
Maintaining normal voiding habits
What is the main reason for urinary retention?
Impaired detrusor contractility
What is the purpose of applying external urinary draining devices?
Managing urinary incontinence
What is the term for the sudden, intense urge to urinate followed by an involuntary loss of urine?
Urge type
What is the primary mechanism of bowel elimination?
Peristalsis wave
What is the term for the inability to empty all urine from the bladder?
Urinary retention
What is the purpose of habit training in managing urinary incontinence?
Continence retaining
What is the term for the involuntary urination in children beyond the age of 4?
Enuresis
What is the primary goal of using absorbent dressings in wound care?
To absorb drainage or debride a wound
What is the purpose of applying topical antimicrobial medication in wound care?
To prevent infection
What is the primary goal of debridement in wound care?
To remove thick necrotic tissue or eschar
What is the purpose of maintaining skin integrity in wound care?
To prevent potential risks associated with impaired skin integrity
What is the purpose of using pressure dressings or elastic bandages in wound care?
To prevent hemorrhage
What is the primary goal of wound irrigation in wound care?
To remove debris and bacteria from the wound site
What is the purpose of providing supportive devices in wound care?
To splint or immobilize the wound site
What is the primary goal of maintaining skin hygiene in wound care?
To prevent infection
Study Notes
Fecal Incontinence
- Fecal incontinence refers to the loss of voluntary ability to control fecal and gaseous discharges through the anal sphincter.
- Continence aids such as a condom catheter or absorbent pads may be used.
Flatulence
- Three primary sources of flatus are:
- Action of bacteria on the chyme in the large intestine
- Swallowed air
- Gas that diffuses between the bloodstream and the intestine
Bowel Diversion Ostomies
- Ostomy is an opening for the gastrointestinal, urinary, or respiratory tract onto the skin.
- Stoma is the opening created in the abdominal wall by the ostomy.
- Types of ostomies:
- Gastrostomy (opening through the abdominal wall into the stomach)
- Jejunostomy (opening through the abdominal wall into the jejunum)
- Ileostomy (opening into the ileum)
- Colostomy (opening into the colon)
Assessment
- Nursing history
- Physical assessment
- Inspecting the feces
- Diagnostic studies
Diagnosing
- Bowel incontinence
- Constipation
- Risk for constipation
- Prevent associated risks such as infection, skin breakdown, fluid and electrolyte imbalance, and lowered self-esteem
Urinary Elimination
- Voiding at frequent intervals (less than 4 up to 6 times a day)
- Urinary hesitancy (delay and difficulty in initiating voiding)
- Enuresis (involuntary urination in children beyond the age of 4)
- Urinary incontinence (stress, urge, and overflow types)
Implementation
- Maintaining normal urinary elimination
- Preventing urinary tract infection
- Managing urinary incontinence
- Maintaining skin integrity
- Applying external urinary draining devices
Bowel Elimination
- Process of bowel elimination/defecation involves peristalsis wave creating feces that moves to the anus
Wound Care
- Dressing wounds:
- Protects the wound from mechanical injury
- Protects the wound from microbial contamination
- Provides or maintains moist wound healing
- Absorbs drainage or debrides a wound or both
- Provides thermal insulation
- Prevents hemorrhage (when applied as a pressure dressing or with elastic bandages)
- Implementing wound care:
- Supports wound healing
- Prevents infection
- Prevents pressure ulcers
- Provides nutrition and fluids
- Maintains skin hygiene
- Avoids skin trauma
- Provides supportive devices
This quiz assesses understanding of fecal incontinence, its management, and flatulence. It covers topics such as medication timing, continence aids, and the sources of flatus.
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