GI And Bowel Elimination Essentials Exam 3 Questions With 100% Correct Answers

GI And Bowel Elimination Essentials Exam 3 Questions With 100% Correct Answers Psychologic factors affecting bowel elimination - answerAge, Personal habits, Physical activity, Fluid intake, Diet intake, Psychologic factors Physiologic factors that affect bowel elimination - answerMedications (Laxatives), Pregnancy, Surgery/Anesthesia, Slows GI motility, Diagnostic tests, Pain, Position during defecation (Squatty Potty) common physiological alterations in elimination - answerIncontinence, Flatulence, Diarrhea, Constipation, Impaction, Hemorrhoids Nursing diagnosis for issues related to bowel elimination - answerConstipation, Diarrhea, bowel incontinence, self-care deficit, disturbed body image Clostridium difficile (C. diff) - answerbacterial infection, generally associated with antibiotic use, causing severe, watery loose stools Clostridium difficile treatment - answerStop taking antibiotic: ampicillin, clindamycin, amoxicillin -Treatment: Vancomycin, Flagyl, probiotics Nursing Interventions for C. Diff. - answerFollow standard precautions; educate client need to wash their hands with soap and water -Assess for dehydration/dietary intake Patient-Centered Goals for C. Diff. patients - answerExplain cause for diarrhea and rationale for treatment • Maintain rectal area free of irritation/ skin integrity constipation - answerrelated to pain medication use, decreased fluid intake, and decreased mobility as evidenced by no stools for a few days, hypoactive bowel sounds, and a firm, tender abdomen. Nursing Interventions for constipation - answer-Assess pattern of bowel habits -Promotion of normal defecation/elimination habits -Establish a routine -Sitting position or positioning on the bedpan -Allow for privacy -Encourage increased fluid intake unless contraindicated -Review current medications -Review dietary intake (fiber) Diarrhea - answerrelated to malabsorption as evidenced by bloating, cramping, and loose liquid stools Bowel incontinence - answerrelated to sphincter dysfunction as evidenced by constant dribbling of soft and liquid feces -inability to recognize the urge to defecate (fecal staining of underclothing) Impaction - answerContinuous oozing of liquid stool -Unable to pass stool for several days -Loss of appetite; N/V; abdominal distention Self-care deficit - answerToileting related to impaired mobility as evidenced by need for the assistance of one for toileting and restriction of bedrest. Disturbed body image - answerrelated to bowel diversion as evidenced by refusal to discuss descending colostomy and disinterest in learning about care of ostomy Purpose of an enema - answerPromotes bowel cleansing -Relieves constipation -Empties the bowel for diagnostic testing or surgery -Begins a bowel training program Hypertonic enema - answerWork by osmotic pressure, drawing fluid out of interstitial spaces into the colon, which then fills with fluids and distends Isotonic enema - answerWork by expanding the colon, thus promoting peristalsis oil retention enema - answerLubricates the rectum and colon. Feces absorb the oil and become softer and easier to pass. Medication enema - answerAntibiotic enemas used to treat local infections (worms, parasites); a type of retention enema