WEB WOC Continence Care questions and answers 100% verified.

WEB WOC Continence Care questions and answers 100% verified. encopresis - correct answers.a disorder characterized by repeated stool evacuation in inappropriate places in children over the age of four primary: children who never reached continence secondary: children who reached continence for at least a year and are now relapsed sympathetic nervous system role - correct answers.*involuntary* When the rectum is empty, the SNS inhibits the contraction of the rectal wall, and contracts the internal anal sphincter (IAS) to prevent leakage parasympathetic nervous system role - correct the rectum is filled post mass transit, it stretches and the PNS sends information to the CNS to coordinate bowel elimination. The rectum then contracts in conjunction with the ENS and the IAS relaxes. Feces then moves down the anal canal to the external anal sphincter (EAS) enteric nervous system - correct answers.The intrinsic nervous system within the bowel wall. This system responds to a variety of stimuli and generates peristalsis rectoanal inhibitory reflex - correct involuntary relaxation of the IAS when the rectum is stretched that allows feces to move down anal canal sampling reflex - correct rectal contents contact Anoderm (receptors at distal anal canal) for differentiation allows squamous epithelium below the Denate Line with sensory receptors that differentiate between solid, liquid, gaseous rectal contents anal wink - correct cotton swab, swipe at 5 and 7 o'clock on the buttocks with the patient in the modified lithotomy position a focused physical exam that assesses prostate and pelvic muscle control and verifies function of pudendal nerve bulbocavernosus reflex - correct modified lithotomy position, squeeze penis glans to verify external anal sphincter wink or flick the clitoris in females a focused physical exam that assesses prostate and pelvic muscle control and verifies function of pudendal nerve 5 factors that promote continence - correct answers.1: colonic transit, stool volume, and consistency 2: sensory awareness 3: sphincter competence 4: rectal compliance and capacity 5: extrinsic factors secretory diarrhea - correct answers.The absorptive capacity of the bowel is overwhelmed by the volume of water and electrolytes that are secreted into it osmotic (absorptive) diarrhea - correct quate or reduced absorption of the bowel functional (motility) diarrhea - correct answers.Increased motility results in decreased contact time of the stool with the lumen and intestinal mucosa external anal sphincter - correct sed of smooth muscle that maintains sphincter tone (contraction) and striated muscle that permits voluntary control/contractility parasympathetic nervous system - correct of the autonomic nervous system that acts to promote colonic peristalsis and motility activity sympathetic nervous system - correct of the autonomic nervous system that acts to reduce intestinal motility and secretions soluble fiber - correct that contain soluble fiber have the ability to absorb and retain water *use to help resolve diarrhea insoluble fiber - correct that contain insoluble fiber add bulk to the stool and do not absorb water *use to help resolve constipation irritable bowel syndrome - correct is unknown but thought to be multifactorial including: multifactorial: visceral hypersensitivity, enhanced GI permeability known as "leaky gut", altered composition of the GI microbiota, low-grade inflammation, altered immune response, autonomic nervous system dysfunction, altered bile acid metabolism, and psychological distress IBS s/s - correct answers.Abdominal pain, bloating and distention, feelings of incomplete emptying, changes in stool frequency and consistency, pain relieved by defecation, Abdominal pain associated with eating and intraluminal stimulation such as gas, constipation and/or diarrhea obstructed defecation syndrome - correct ders that are characterized by the inability to eliminate normally, even when the stool is an ideal form/consistency. May be the result of muscle/sphincter control issues or mechanical obstacles pelvic floor dyssynergia - correct answers.*most common cause of obstructed defecation syndrome* results from the inability to coordinate pelvic floor and sphincter relaxation and abdominal muscle contraction. Person inadvertently contracts sphincter when trying to relax it diagnosis: sphincter remains contracted when person is instructed to bear down, Impaired rectal sensation, Diagnosed with anorectal manometry treatment: Pelvic muscle re-education using biofeedback rectocele - correct answers.*type of obstructive defecation syndrome* herniation/prolapse of the anterior rectal wall into the posterior vagina diagnosis: may coexist with rectal bleeding and urinary incontinence, Patient may admit supporting perineum through vagina (splinting) to facilitate defecation, May be identified pelvic exam and defecography - radiographic visualization of rectoanal function, When visible, intact bowel is visualized - looking at the outside wall of the bowel with stool contained inside treatment: conservative treatment (pelvic floor exercises, diet/stool management), Pessary, Surgery to repair rectal prolapse - correct answers.*type of obstructed defecation syndrome* rectal mucosa protrudes through the anus diagnosis: Can be assessed with patient in a lying and standing position. Prolapse will be visible upon bearing down, Inside mucosa of the bowel visualized, Incontinence common treatment: Surgical repair is indicated to avoid innervation complications passive incontinence - correct leakage of mucus, liquid, or solid stool without awareness by the individual that any stool has been passed urge incontinence - correct n urge to defecate without being able to hold in stool long enough to reach the bathroom before defecation occurs flatus incontinence - correct involuntary passing of gas or small amounts of stool and may be the first sign of fecal incontinence development bristol stool scale - correct answers.A reporting tool used to document the shape and consistency of stool