NURS 213 Midterm 2025 COMPREHENSIVE
EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% CORRECT ANSWERS BRAND NEW
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Terms in this set (386)
an opening into the colon that permits feces to exit
colostomy
through the stoma
constipation the passage of a hard, dry stool
The introduction of fluid into the rectum and lower
enema
colon
collection in the rectum of hardened feces that
fecal impaction
cannot be passed
fissure a linear break on the margin of the anus
flatus intestinal gas
flatulence the accumulation of gas in the GI tract
hemorrhoids abnormally distended rectal veins
opening into the small intestine allows fecal content
ileostomy
from the ileum to be eliminated through the stoma
a conical or oval solid substance shaped for easy
suppository insertion into a body cavity and designed to melt at
body temperature
paralytic ileus paralysis of intestinal peristalsis
artificial opening for waste excretion located on the
stoma
body surface
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forcible exhalation against a closed glottis, resulting
Valsava Maneuver
in increased intrathoracic pressure
developmental considerations
daily patterns
fluid and food
activity and muscle tone
Factors that affect bowel lifestyle
elimination psychological variables
pathologic conditions
medications
diagnostic studies
surgery and anesthesia
Developmental Age affects what a person eats, and the bodys
considerations ability to digest nutrients and eliminate wastes
frequency, timing considerations, position, and
Daily patterns
place
type and amount eaten and amount of fluid
Food and fluid
ingested
Activity and muscle tone exercise improves GI motility and muscle tone
individual, family, and sociocultural (rituals, daily
Lifestyle
schedule, occupation)
Psychological Variables anxiety, fight or flight response
disease, medications, food poisoning, constipation,
pathologic conditions
intestinal obstruction
medications laxatives, antidiarrheal, opioids, antacids
fasting, ingestions of barium, bowel preparation for
diagnostic studies
procedures
surgery and anesthesia paralytic ileus, opioids
Variable, it depends on the amount a person eats
Normal Stool Volume
and the nature of their diet
Infant: yellow to brown
Normal Stool Color
Children to Adult: brown
Normal Stool Odor pungent, may be affected by foods eaten
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Normal Stool soft, semisolid, and formed
Consistency
formed stool is usually about 1 in (2.5 cm) in
diameter and has the tubular shape of the colon, but
Normal Stool Shape
may be larger or smaller, depending on the
condition of the colon
Waste residues of digestion: bile, intestinal
secretions, shed epithelial cells, bacteria, and
Normal Stool
inorganic material (chiefly calcium and phosphates);
Constituents
seeds, meat fibers, and fat may be present in small
amounts
Rectal bleeding
Warning Signs of Colon Change in the bowel elimination pattern
Cancer Blood in the stool
Cramping pain in the lower abdomen
Treatments for laxatives (bulk forming, osmotic, stimulant, stool
constipation softeners, lubricant, enemas, prevention)
-Relieve constipation or fecal impaction
-Prevent involuntary escape of fecal material during
surgical procedures
-Promote visualization of the intestinal tract by
Cleansing Enemas radiographic or instrument examination
-Help establish regular bowel function during a
bowel-training program
-tap water (hypotonic), normal saline solution
(isotonic), soap solution, hypertonic solution
-Oil-retention enemas: lubricate, about 150 to 200
mL of solution is administered to adults.
-Carminative enemas: expel flatus from the rectum
and provide relief from gaseous distention. (Milk
Retention Enemas and molasses enema, magnesium sulfate-glycerin-
water.)
-Medicated enemas: provide medications that are
absorbed through the rectal mucosa.
-Anthelmintic enemas: destroy intestinal parasites.
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Disposable enema set
Enema solution as ordered by a physician
Lubricant
Waterproof pad
Enema equipment
Bath Blanket
needed
Gloves
PPE if indicated
Bedpan, BSC, or toilet and toilet tissue
Washcloth, soap and towel
-Identify and assess pt
-Explain procedure prior to administration
-Raise be to nurse's elbow height
-Place pt in the Sims position
-Temperature range 105-110 degrees F
-Volume varies depending on type, usually 750-1000
ml for large volume cleansing enema
-2 to 3 in of enema tubing should be lubricated
-Insert enema tube 3-4 in at an angle toward the
Key Points to Remember umbilicus, not the bladder
- enema -Elevate solution no higher than 18 in
-Give solution slowly over 5-10 minutes
-Document the amount and type of solution;
amount, consistency, and color of stool returned;
and pt's reaction to the procedure or any irritation,
bleeding, etc.
-Remember this procedure could stimulate a vagal
response which decreases heart rate and BP
- Contraindicated if pt has a low platelet or WBC
count, bowel inflammation, or bowel infection
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