Deck 23: Bowel Elimination

Question 1

Which does not slow the passage of feces through the intestines?

A)Exercise and activity
B)Some medications
C)Aging
D)Disability

Answer 1

Exercise and activity

Question 2

A colostomy is a surgically created opening between the _____ and abdominal wall.

A)Small intestine
B)Colon
C)Ileum
D)Rectum

Answer 2

Colon

Question 3

A resident has finished defecating.Which will not promote the person's comfort?

A)Assist with perineal care as necessary.
B)Dispose of feces promptly.
C)Assist the person with hand washing.
D)Give the person a suppository.

Answer 3

Give the person a suppository.

Question 4

Which foods are needed for bowel elimination?

A)Milk
B)Chocolate
C)Fruits and vegetables
D)Fried foods

Question 5

An enema is

A)The excessive loss of water from tissues
B)The introduction of fluid into the rectum and lower colon
C)Gas or air in the stomach or intestines
D)A cone-shaped solid medication inserted into a body opening

Question 6

What is the usual position for defecation?

A)Sitting or squatting
B)Sims'
C)Semi-Fowler's
D)Left side-lying

Question 7

Fecal incontinence is the

A)Passage of a hard,dry stool
B)Frequent passage of liquid stools
C)Prolonged retention and accumulation of feces in the rectum
D)Inability to control the passage of feces and gas through the anus

Question 8

What is a common time for bowel elimination?

A)Before breakfast
B)After breakfast
C)Before the evening meal
D)After the evening meal

Question 9

Defecation is the

A)Passage of a hard,dry stool
B)Frequent passage of liquid stools
C)Prolonged retention and accumulation of feces in the rectum
D)The process of excreting feces from the rectum through the anus

Question 10

Flatulence is

A)The excessive formation of gas or air in the stomach and intestines
B)Gas or air passed through the anus
C)A black,tarry stool
D)Excreted feces

Question 11

Why does privacy affect elimination?

A)Bowel movements and sounds are embarrassing.
B)Some people usually have a bowel movement after breakfast.
C)Reading is relaxing.
D)The passage of feces slows down.

Question 12

Which fluids increase peristalsis?

A)Cold fluids
B)Warm fluids
C)Alcoholic beverages
D)Carbonated beverages

Question 13

Constipation is the

A)Passage of a hard,dry stool
B)Frequent passage of liquid stools
C)Prolonged retention and accumulation of feces in the rectum
D)Inability to control the passage of feces and gas through the anus

Question 14

Flatus is

A)The excessive formation of gas in the stomach and intestines
B)Gas or air passed through the anus
C)A black,tarry stool
D)Excreted feces

Question 15

Gas-forming foods aid defecation because they

A)Form chyme
B)Stimulate peristalsis
C)Absorb fluid
D)Are easy to chew and digest

Question 16

Which statement about normal elimination is incorrect?

A)A bowel movement is needed every day.
B)Stools are normally brown.
C)Stools are normally soft,formed,moist,and shaped like the rectum.
D)Stools normally have an odor.

Question 17

You are assisting a resident with elimination.Which will not promote comfort and safety?

A)Close doors,the privacy curtain,and window curtains,blinds,or shades.
B)Follow Standard Precautions and the Bloodborne Pathogen Standard.
C)Place the signal light and toilet tissue within reach.
D)Stand next to the person until the person is finished.

Question 18

How many glasses of water does a person need daily to promote normal bowel elimination?

A)2 to 4
B)4 to 6
C)6 to 8
D)8 to 10

Question 19

Feces move through the intestines by

A)Chyme
B)Peristalsis
C)Defecation
D)Flatulence

Question 20

Fecal impaction is the

A)Passage of a hard,dry stool
B)Frequent passage of liquid stools
C)Prolonged retention and buildup of feces in the rectum
D)Inability to control the passage of feces and gas through the anus

Question 21

A resident complains of constipation.If the person is constipated,you would expect her stools to be

A)Hard and dry
B)Liquid
C)Soft and formed
D)Putty-like

Question 22

A resident complains of constipation.If the person is constipated,you would expect her stools to be

A)Large or marble-sized
B)Liquid
C)Soft and shaped like the rectum
D)Black and tarry

Question 23

The nurse gave a resident a suppository.When should you expect the person to have a bowel movement?

A)Right away
B)In 10 minutes
C)In 20 minutes
D)In 30 minutes

Question 24

Which is not a cause of fecal incontinence?

A)Chronic illness
B)A high-fiber diet
C)Dementia
D)Not getting to the bathroom in time

Question 25

A resident has diarrhea.Which will not prevent odors and the spread of microbes?

A)Practice Standard Precautions.
B)Follow the Bloodborne Pathogen Standard.
C)Dispose of stools promptly.
D)Have the person use the commode.

Question 26

Bowel training is helpful for all of the following except

A)Diarrhea
B)Fecal impaction
C)Constipation
D)Fecal incontinence

Question 27

A resident complains of diarrhea.The person needs assistance with ambulation.When the person's signal light is on,you need to

A)Answer promptly
B)Go to the person as soon as you finish assisting another resident
C)Ask a co-worker to help you
D)Tell the nurse

Question 28

A person has fecal incontinence.The following measures are part of the care plan.Which should you question?

A)Assist with elimination after meals.
B)Assist with elimination every 2 to 3 hours.
C)Give good skin care.
D)Empty ostomy pouch when feces are present.

Question 29

A resident has diarrhea.You know that the person is at risk for

A)Dehydration
B)Enema
C)Fecal incontinence
D)An ostomy

Question 30

A bowel training program was developed for a resident.The person usually has a bowel movement after breakfast.When should you assist the person with elimination?

A)Before breakfast
B)After breakfast
C)Before lunch
D)After lunch

Question 31

A resident has diarrhea.You know that liquid feces and frequent wiping can lead to

A)Skin breakdown
B)Dehydration
C)Oliguria
D)Death

Question 32

A resident complains of flatulence.Which position often produces flatus?

A)Fowler's
B)Semi-Fowler's
C)Right side-lying
D)Left side-lying

Question 33

Which can occur if constipation is not relieved?

A)Fecal impaction
B)Enema
C)Diarrhea
D)Suppository

Question 34

A resident complains of flatulence.The following measures are part of the person's care plan.Which should you question?

A)Offer carbonated beverages.
B)Have the person move about when in bed.
C)Encourage walking.
D)Encourage exercise.

Question 35

The nurse did a digital removal of an impaction.This means that the nurse

A)Gave an enema
B)Gave a suppository
C)Used a lubricated,gloved finger to remove the impaction
D)Applied an ostomy pouch

Question 36

A resident complains of flatulence.The person has the following food choices.Which does not cause flatulence?

A)Onions
B)Beans
C)Cauliflower
D)Potatoes

Question 37

Which is a sign of fecal impaction?

A)The frequent passage of liquid stools
B)Marble-sized stools
C)Liquid feces seeping from the anus
D)Passage of large stools

Question 38

Which is not a symptom of fecal impaction?

A)Abdominal discomfort
B)Rectal pain
C)Nausea
D)Indigestion

Question 39

Enemas are given for all of the following reasons except

A)Diarrhea
B)Constipation
C)Fecal impaction
D)Flatulence

Question 40

You report to the nurse that a resident is complaining of constipation.The nurse holds a care conference to discuss the person's care plan.The following measures are discussed.Which will not relieve constipation?

A)Increasing the person's fluid intake
B)Encouraging the person to walk more
C)Offering the person tea and prune juice at breakfast
D)Doing a digital rectal examination

Question 41

Which statement about colostomies is incorrect?

A)The person wears a pouch to collect feces and flatus.
B)Stool consistency depends on the colostomy site.
C)The more colon remaining,the more liquid the stool.
D)Good skin care is necessary because feces irritate the skin.

Question 42

How much enema solution is usually given to an adult?

A)100 to 120 mL
B)200 to 300 mL
C)500 to 750 mL
D)500 to 1000 mL

Question 43

A person has an ileostomy.Which statement is incorrect?

A)The entire colon was removed.
B)Feces are liquid in consistency.
C)Feces drain constantly from the ileostomy.
D)Water is absorbed before feces are expelled into the pouch.

Question 44

How long can you anticipate it taking for a person to have results from a cleansing enema?

A)10 to 20 minutes
B)20 to 30 minutes
C)30 to 40 minutes
D)60 minutes

Question 45

The doctor ordered a saline enema.What is added to the enema solution?

A)Mineral oil
B)A drug
C)Castile soap
D)Salt

Question 46

You are preparing to give a saline enema.To remove air from the enema tube,you need to

A)Close the clamp
B)Lubricate the tip
C)Let solution flow through the tube
D)Keep the enema bag level with the anus

Question 47

Oil-retention enemas are retained for at least

A)15 minutes
B)30 to 60 minutes
C)2 hours
D)3 hours

Question 48

Water temperature for an enema solution for adults usually is

A)100° F
B)105° F
C)110° F
D)Body temperature

Question 49

A saline enema takes effect

A)Right away
B)In 5 to 15 minutes
C)In 10 to 20 minutes
D)In 30 minutes

Question 50

You do not administer an enema that contains

A)Mineral oil
B)A drug
C)Castile soap
D)Salt

Question 51

Which statement about small-volume enemas is incorrect?

A)The solution is usually given at room temperature.
B)It usually takes 5 to 10 minutes for the enema to take effect.
C)Pressure is released on the bottle during administration.
D)Staying in the Sims' position helps to retain the enema.

Question 52

After giving an oil-retention enema,the person is left in the _____position.

A)Fowler's or semi-Fowler's
B)Sims' or left side-lying
C)Prone or supine
D)Supine or right side-lying

Question 53

Which enema is irritating to the bowel's mucous lining?

A)Saline enema
B)Soapsuds enema
C)Tap water enema
D)Oil-retention enema

Question 54

You are giving a saline enema.During the procedure,the person complains of cramping.What should you do?

A)Call for the nurse.
B)Clamp the tubing.
C)Remove the tubing.
D)Insert the tubing farther.

Question 55

What is the preferred position for giving an enema?

A)Fowler's or semi-Fowler's position
B)Sims' or left side-lying position
C)Prone or supine position
D)Supine or right side-lying position

Question 56

How far is the enema tube usually inserted into the adult rectum?

A)1 to 3 inches
B)2 to 4 inches
C)4 to 5 inches
D)5 to 6 inches

Question 57

Giving an enema is delegated to you.Because of the end of shift report,the nurse will not be available to supervise you.What should you do?

A)Ask a co-worker to help you.
B)Give the enema if it is in your job description.
C)Give the enema because it was part of your education and training.
D)Refuse to give the enema because the nurse is not available to supervise you.

Question 58

Before disposing of the enema results,what should you do?

A)Make your observations.
B)Ask the nurse to observe the results.
C)Provide perineal care.
D)Disinfect the bedpan or commode.

Question 59

You know that enemas are

A)Given before certain surgeries and diagnostic procedures
B)Not given before surgery
C)Given after surgery
D)Only given for constipation

Question 60

Oil-retention enemas are given for

A)Constipation or fecal impaction
B)Flatulence
C)Certain surgeries and diagnostic procedures
D)Ostomies

Question 61

Ostomy pouches are usually changed every

A)Day
B)Time feces are present
C)3 to 7 days
D)Month

Question 62

Touching an ostomy stoma causes pain and discomfort.

Question 63

A person with an ostomy pouch wears

A)Tight clothes
B)Regular clothes
C)A hospital gown
D)Clothes selected by the nurse

Question 64

When is the best time to change an ostomy pouch?

A)Before breakfast
B)After breakfast
C)After the evening meal
D)Before bedtime

Question 65

You are emptying an ostomy pouch.Which is correct?

A)The belt is removed.
B)The pouch is removed.
C)The drain at the top is opened.
D)The drain at the bottom is opened.

Question 66

Persons with ostomies manage their own care if able.

Question 67

Ostomy pouches are disposed of by flushing them down the toilet.

Question 68

You just applied a new ostomy pouch.When can the person shower or bathe?

A)Right away
B)In 1 to 2 hours
C)In 8 hours
D)The next day

Question 69

A person has an ostomy pouch.The pouch is bulging from flatus.What should you do?

A)Call for the nurse.
B)Make a hole in the pouch for the escape of gas.
C)Open the pouch.
D)Change the pouch.

Question 70

Which will not prevent ostomy pouch odors?

A)Good hygiene
B)Emptying the pouch
C)Putting deodorants in the pouch
D)Eating cucumbers and radishes