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Elimination AlterationsMedical-Surgical Nursing-7th edition

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If peristalsis is too fast, _______ stool is formed. If peristalsis is too slow, _______ stool is formed.
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Too fast = watery; Too slow = hard (constipation)
During an enema a client expresses pain. There is blood in the return fluid and rectal bleeding. You should...
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stop the instillation and obtain VS
A cleansing enema is ordered for a 55 year old.. The maximal amount of fluid given is...
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750-1000 mL
The greatest danger from diarrhea is the development of _______ and _______ imbalances.
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fluid and electrolyte
Ostomy skin barriers typically stay in place _______ days.
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3-7 days
Clients with ileostomies need to be on _______ diets to allow the small bowel to adapt to the diversion.
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low fiber (bread, noodles, rice, eggs, lean meats, fish, and poultry). After it heals, can eat whatever.
True or False? Enemas are used to irrigate left-sided colostomies.
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False. A special cone tipped irrigation is use. *Never use an enema.
Stool discharged from a stoma is called _______.
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Effluent
FOBT is useful for screening for...
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colon cancer
How many FOBT tests must be performed for a confirmed (+) result?
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3
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What foods can cause a false (+) FOBT?
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Red meat, poultry, fish; Vitamin C; Some raw veggies; Aspirin and NSAIDS
A _______ color indicates a (+) guaiac (FOBT).
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Blue (*read within 60 seconds)
What should a nurse focus her planning on for a patient with fecal incontinence?
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Protecting the skin, promoting continence, and lessening the embarrassment.
True or False? Stool softeners are no longer recommended for constipation.
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TRUE
What type of cleansing enema should be used on children?
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Saline
What is the safest solution to use for a cleansing enema?
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normal saline
Which type of enema should not be done more than once because of the risk of circulatory overload?
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Tap water enema.
Clients unable to tolerate large volumes of fluid benefit from this type of enema...
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Hypertonic
Hypertonic solution enemas should not be used on clients that are...
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dehydrated or infants
A soapsuds enema uses _______ soap. A high enema cleanses _______ and a low enema cleanses _______.
Show Answer
pure castile soap; high = whole colon; low = rectum and sigmoid
  
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