Nursing Chapter 17: Bowel Elimination Flashcards
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Questions and Answers

What is peristalsis?

Contractions that move food through the GI system.

Foods that are high in animal fats and refined sugars but low in fiber can cause what?

Constipation

Normal bowel elimination is aided by what?

Proper fluid intake

The best position for bowel elimination is what?

<p>Squatting and leaning forward</p> Signup and view all the answers

Bowel elimination usually occurs when?

<p>Morning, noon, and night</p> Signup and view all the answers

The frequent elimination of liquid or semi-liquid feces is what?

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

Enlarged veins in the rectum that cause itching and burning is called what?

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

Residents with peptic ulcers should avoid drinks containing which ingredient, as well as beverages containing alcohol?

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

Untreated heartburn causes scarring, or _________.

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

The diversion of waste to an artificial opening (stoma) through the abdomen is called what?

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

Keeping the body in this position during sleep may help when a person has gastroesophageal reflux disease?

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

Treatment of constipation often includes increasing the amount of what eaten?

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

Abbreviation for gastroesophageal reflux disease?

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

These are given to put fluid into the rectum in order to eliminate stool or feces prior to surgery or a medical test?

<p>Purpose of enemas</p> Signup and view all the answers

What position must a resident be in when getting an enema?

<p>Sims position</p> Signup and view all the answers

If the resident has pain or if the nursing assistant feels resistance while giving an enema, what should the NA do?

<p>Report it to the nurse</p> Signup and view all the answers

How can the resident's legal rights be protected while giving an enema?

<p>Providing plenty of privacy</p> Signup and view all the answers

Hidden blood in stool is called _________ blood.

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

Blood in stool may be a sign of a serious problem, such as _________ or other illnesses.

<p>colorectal cancer</p> Signup and view all the answers

Why might a resident be embarrassed by his ostomy?

<p>They feel they have lost control of basic bodily function</p> Signup and view all the answers

How often should an ostomy bag be emptied and cleaned or replaced?

<p>Whenever a stool is eliminated</p> Signup and view all the answers

What could cause a food blockage in a resident who has an ileostomy?

<p>A large amount of high fiber food in the resident's diet</p> Signup and view all the answers

Residents who have had a disruption in their bowel _________?

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

Bowel routines may need help to restore normal _________.

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

Wear _________ when handling body wastes.

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

Explain the training _________ to the resident.

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

Keep a _________ of bowel habits.

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

Encourage plenty of _________.

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

Encourage plenty of foods that are high in _________.

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

Provide _________ in the bed and bathroom.

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

Help with _________ care, which can prevent skin breakdown.

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

Discard clothing _________.

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

Discard _________ briefs properly.

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

Praise _________ or attempts to control bowels.

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

Never show __________ or anger toward an incontinent resident.

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

Study Notes

Bowel Elimination Fundamentals

  • Peristalsis refers to the contractions that move food through the gastrointestinal (GI) system.
  • Constipation can occur from diets high in animal fats and refined sugars but low in fiber.
  • Adequate fluid intake is crucial for normal bowel elimination.
  • The best position for bowel elimination involves squatting and leaning forward.

Bowel Elimination Patterns

  • Bowel movements typically occur at various times throughout the day, including morning, noon, and night.
  • Diarrhea is characterized by the frequent elimination of liquid or semi-liquid feces.

Common Conditions and Symptoms

  • Hemorrhoids are enlarged veins in the rectum that result in itching and burning sensations.
  • Individuals with peptic ulcers should avoid drinks containing caffeine and alcohol.
  • Untreated heartburn can lead to ulceration, resulting in scarring.

Surgical and Medical Procedures

  • A colostomy entails diverting waste to an artificial opening (stoma) in the abdomen.
  • Maintaining an upright position during sleep can alleviate symptoms of gastroesophageal reflux disease (GERD).

Dietary Considerations

  • Treating constipation often involves increasing fiber intake in the diet.

Enema Procedures

  • Enemas are administered to introduce fluid into the rectum for stool elimination prior to medical procedures.
  • Residents should be in the Sims position when receiving an enema.
  • If pain or resistance is encountered during an enema, nursing assistants should report it to the nurse immediately.
  • Ensuring the resident's privacy during an enema respects their legal rights.

Health Indicators

  • Hidden blood in stool is referred to as occult blood.
  • Blood in stool may indicate serious health issues, such as colorectal cancer.

Ostomy Care

  • Residents may feel embarrassed by their ostomy due to perceived loss of control over basic body functions.
  • Ostomy bags should be emptied and cleaned or replaced whenever stool is eliminated.
  • A blockage in a resident with an ileostomy may result from a large amount of high-fiber food.

Restoring Normal Bowel Function

  • Residents who experience disruptions in their bowel routines may require assistance to restore normal function.
  • Maintain detailed records of bowel habits to monitor changes and effectiveness of interventions.
  • Provide plenty of fluids and encourage high-fiber foods to promote bowel health.
  • Ensure the resident has privacy in both bed and bathroom settings.
  • Assist with perineal care to prevent skin breakdown around the anal area.

Professional Practices

  • Always wear gloves when handling body wastes to maintain hygiene.
  • Properly discard clothing protectors and incontinence briefs.
  • Recognize and praise the resident's successes or efforts in managing bowel control.
  • Avoid showing frustration or anger toward residents experiencing incontinence.

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Test your knowledge of bowel elimination concepts with these flashcards from Nursing Chapter 17. Learn important terms such as peristalsis, constipation, and proper fluid intake related to effective bowel health. Perfect for nursing students seeking to reinforce their understanding of gastrointestinal processes.

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