Fecal Incontinence and Flatulence Management
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Questions and Answers

What is fecal incontinence also known as?

  • Flatulence
  • Bowel incontinence (correct)
  • Ostomy
  • Constipation

    • What are the three primary sources of flatus?

  • Action of enzymes on the chyme in the large intestine, swallowed air, and gas that diffuses between the bloodstream and the intestine
  • Action of bacteria on the chyme in the small intestine, swallowed air, and gas that diffuses between the bloodstream and the intestine
  • Action of enzymes on the chyme in the stomach, swallowed air, and gas that diffuses between the bloodstream and the intestine
  • Action of bacteria on the chyme in the large intestine, swallowed air, and gas that diffuses between the bloodstream and the intestine (correct)

    • What is an ostomy?

  • A surgical opening for the urinary tract only
  • A surgical opening for the gastrointestinal, urinary, or respiratory tract onto the skin (correct)
  • A surgical opening for the respiratory tract only
  • A surgical opening for the gastrointestinal tract only

    • What is the purpose of a gastrostomy?

    <p>To open through the abdominal wall into the stomach</p> Signup and view all the answers

    What is a stoma?

    <p>The opening created in the abdominal wall by an ostomy</p> Signup and view all the answers

    What is one of the key aspects of assessing bowel incontinence?

    <p>Inspecting the feces</p> Signup and view all the answers

    What is a colostomy?

    <p>An opening into the colon</p> Signup and view all the answers

    What is a key aspect of managing bowel incontinence?

    <p>Using continence aids such as a condom catheter</p> Signup and view all the answers

    What is the primary goal of maintaining normal urinary elimination?

    <p>Maintaining normal voiding habits</p> Signup and view all the answers

    What is the main reason for urinary retention?

    <p>Impaired detrusor contractility</p> Signup and view all the answers

    What is the purpose of applying external urinary draining devices?

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

    What is the term for the sudden, intense urge to urinate followed by an involuntary loss of urine?

    <p>Urge type</p> Signup and view all the answers

    What is the primary mechanism of bowel elimination?

    <p>Peristalsis wave</p> Signup and view all the answers

    What is the term for the inability to empty all urine from the bladder?

    <p>Urinary retention</p> Signup and view all the answers

    What is the purpose of habit training in managing urinary incontinence?

    <p>Continence retaining</p> Signup and view all the answers

    What is the term for the involuntary urination in children beyond the age of 4?

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

    What is the primary goal of using absorbent dressings in wound care?

    <p>To absorb drainage or debride a wound</p> Signup and view all the answers

    What is the purpose of applying topical antimicrobial medication in wound care?

    <p>To prevent infection</p> Signup and view all the answers

    What is the primary goal of debridement in wound care?

    <p>To remove thick necrotic tissue or eschar</p> Signup and view all the answers

    What is the purpose of maintaining skin integrity in wound care?

    <p>To prevent potential risks associated with impaired skin integrity</p> Signup and view all the answers

    What is the purpose of using pressure dressings or elastic bandages in wound care?

    <p>To prevent hemorrhage</p> Signup and view all the answers

    What is the primary goal of wound irrigation in wound care?

    <p>To remove debris and bacteria from the wound site</p> Signup and view all the answers

    What is the purpose of providing supportive devices in wound care?

    <p>To splint or immobilize the wound site</p> Signup and view all the answers

    What is the primary goal of maintaining skin hygiene in wound care?

    <p>To prevent infection</p> Signup and view all the answers

    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

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    Description

    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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