NUR 204 Bowel Elimination - exam 5 check book for enema types

flushable reagent pad

place a pad in the toilet 3 days in a row pad changes color when blood is detected record results yourself

large volume enema (cleansing)

effective treatment for constipation as it cleanses a large part of the colon. The fluid amount used in this type is 500-1,000 ml. The doctors may ask you to hold the fluid in your anal opening for a long time to release the stool completely.

how often to replace food containers

every 24 hours

how often to rinse feeding containers

every 8 hours

if you feel resistance while inserting the enema

stop and alert the provider

ostomies can be

temporary or permanent

the nurse is caring for a client who has cancer of the rectum and is scheduled for an abdominoperineal resection with creation of a colostomy. for which type of surgery would the nurse prepare this client?

temporary transverse loop colostomy

colostomy

the surgical creation of an artificial excretory opening between the colon and the body surface

older adults start having decreased peristalsis

the wave goes down sphincter relaxes

the nurse provides post op teaching about colostomy care to a client who underwent surgery for cancer of the colon. the education would include which instruction related to skin care around the stoma?

wash the area with soap and water then apply a protective ointment

preventative screening

fecal occult blood test sigmoid and colon scopy

type 6 stool is

fluffy with ragged edged, mushy inflammation

the nurse provides education to a pt abt how to prevent constipation. the nurse concludes that the teaching is understood when the client says

" I should drink at least 6 glasses of water /day" " I can include bran muffins in my daily breakfast" " I will walk every day"

the nurse provides education to a client with a new colostomy bag. which client statement indicated correct understanding of teaching?

"i will irrigate it during the late morning, the same time as I had a bowel movement everyday before my surgery"

which instruction would the nurse include regarding an ileal conduit when providing a clients discharge teaching?

"maintain fluid intake of at least 2 L a day"

length of the duodenum

1-2 ft

enema insertion depth for infants

2.5-3.75 cm (1-1.5in)

1 in =

2.54 cm

the small intestine is

24 ft long

guaiac test

3 samples smear sample on lab color changing chemical detects blood

fecal occult blood test

3 small samples taken 1 day apart a special diet prescribed 48-72 hours before the test

regular enema height

30 cm (12 in)

high enema height

30-45 cm (12-18 in)

A high cleansing enema is prescribed for a client. What is the maximum height at which the container of fluid should be held by the nurse when administering this enema?

46 cm (18 in)

length of large intestine

5-6 ft

what is the recommended length of insertion of the enema tube in a child of 3 years?

5-7.5 cm

enema insertion depth for children

5-7.5 cm (2-3in)

length of the jejunum

6-8 ft

low enema

7.5 cm (3 in)

enema insertion depth for adults and adolescents

7.5-10 cm (3-4 in)

loop stoma

A loop stoma can be made in the ileum ("loop ileostomy") or colon ("loop colostomy"). A loop stoma often is made when the stoma will be temporary. However, not all loop stomas are temporary

coolin enema

If your temperature is extremely high, the doctor may use a cooling enema to lower your body temperature. It is not a common procedure.

small volume enema (cleansing)

It is used to clean the lower part of the colon. The fluid amount used is less than 500 ml. It is recommended to people who are not constipated from the upper part of the colon.

a lack of bowel sounds means the patient should be

NPO

enemas are used to

Promote bowel cleansing Relieve constipation Empty the bowel for diagnostic testing or surgery Begin a bowel training program

cleansing enema

This procedure is water-based. It includes holding the injection in the rectum for a short time to flush the colon thoroughly. Your body then releases the stool within a few minutes.

what is the rationale for auscultating the bowel in all 4 quadrants before advancing to a clear liquid diet?

You must hear bowel sounds in all 4 quadrants

type 3 stool is

a sausage with cracks on the surface normal

organs in the right iliac region

appendix cecum

BRAT diet

bananas, rice, applesauce, toast

lower GI series

barium enema radiologic study

upper GI series tests

barium swallow radiologic study

a client has a surgically created colostomy, which is the most effective nursing intervention initially to help the client accept the colostomy

begin to teach self care of the colostomy by introducing equipment.

fiber-optic endoscope

biopsy electrosurgical treatment photos or videos

which test result would confirm the diagnosis of benign prostatic hyperplasia

biopsy of prostatic tissue

Organs in the Hypogastric region

bladder sigmoid colon female RE organs

which assessment finding would the nurse report to the provider when giving immediate post op care to a client with a newly placed ostomy?

blanching, dark red to purple color of the stoma

what are normal symptoms after an enema?

bloating and cramping

if you do not hear any bowel sounds then

call the provider

large intestines consist of

cecum ascending colon transverse colon descending colon sigmoid colon rectum anus

Fecal immunochemical test (FIT)

collect 1-3 samples smear on card and send to lab antibodies detect blood

colonoscopy

colonscope - video - biopsy

Opiods cause

constipation

soapsuds enema

creates intestinal irritation to stimulate peristalsis, only pure castile soap is safe

nasogastric intubation

decompression of the GI tract Administration of med or enteral feedings compression of internal hemmorhage gastric lavage

which information would the nurse include in the teaching plan for a client who will receive TPN at home?

demonstrate capillary glucose levels

organs of the left lumbar region

descending colon L kidney

organs in the left iliac region

descending colon sigmoid colon

antibiotics cause

diarrhea

Abnormal Defecation Patterns

diarrhea incontinence constipation impaction flatuelence

return flow enema

done on people with trouble pooping due to intestinal gas. In this method, a large fluid volume is used, which is injected in 100-200 ml increments. The fluid is then drawn out along with the flatus (intestinal gas). This process is repeated three to five times until the gas is entirely out.

which dietary instruction would be beneficial to a client who has undergone a hypophysectomy and has difficulty passing stools?

drink plenty of water

most nutrients are absorbed in he

duodenum jejunum

Valsalva maneuver

forcible exhalation against a closed glottis, resulting in increased intrathoracic pressure

organs in the right lumbar region

gallbladder liver R colon

upper endoscopy examinations

gastroscopy duodenoscopy fiber-optic endoscope

Diet for constipation

high fiber increased fluids hot liquids prune/ fruit juice

types of pouches for illeostomy

illeoanal pouch kock pouch

when inserting a catheter to irrigate a colostomy the nurse meets some resistance. which action would the nurse take?

instill a small amount of solution from the irrigating container into the stoma

colostomys can be of the

sigmoid descending transverse ascending

diet for diarrhea

small bland meals tepid liquids BRAT diet

type 5 stool is

soft blobs with clear cut edges - easily passed lack of fiber

organs in the left hypochondriac region

spleen colon kidney pancreas

a colostomy is a

stoma in the colon

Illeostomy is a

stoma in the small intestine

organs in the epigastric region

stomach liver pancreas spleen adrenal glands

fecal lab tests

stool culture fecal occult blood test

regular pan

•higher sides, more uniquely shaped, similar to a standard toilet seat; alllow the patient to be raised to a more normal position for elimination.

fracture pan

•shallow, used for pt with hip/back fractures or to promote comfort in patients who may have to lie flat or are unable to raise their buttocks off the bed. Placed with the handle toward the patients feet.

which information about benign prostatic hyperplasia is important for the nurse to consider when caring for a client with the condition?

it predisposes hydronephrosis

Organs in right hypochondriac region

liver gallbladder R kidney small intestine

types of bowel diversions

loop colostomy double barrel colostomy

barium swallow

radiographic examination of the esophagus, stomach, and small intestine after oral administration of barium sulfate

medicated enema

relieves the intestinal mucosa, and the medicines balance the electrolytes and fight infections. This procedure is done after cleansing enemas.

type 2 stool is

sausage shaped and lumpy somewhat constipated

type 4 stool is

sausage with cracks normal

type 1 stool is

separate hard lumps like nuts very constipated

type 7 stool is

watery no solids inflammation or infection

the client is undergoing an enema and experiences cramping, what action should the nurse take?

lower the height of the enema bag

the nurse is preparing to administer an oil-retention enema and understands that it works primarily by which action?

lubricating the sigmoid colon and rectum

what type of fluid is used in an oil retention enema

mineral oil

organs in umbilical region

navel part of S intestine duodenum

which response would the nurse give to a client who asks if having a hemicolectomy means wearing a pouch and having bowel movements in an abnormal way?

no, part of the colon is removed and the rest is attached

what type of fluid is used in a cleansing enema

normal saline solution

ostomy appliances for care

one or two piece used to protect skin, collect drainage, control odor

oil retention enema

or people whose stool has hardened. The oil-retention enema softens the stool. The enemas used in this process usually contain 90-120 ml solution. The doctor may ask you to retain the solution for at least an hour to get effective results.