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Ostomies and EnemasFundamentals of Nursing

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The duodenum processes ____ from the stomach. The jejunum absorbs ____ and the ileum absorbs ____.
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duodenum= chyme; jejunum= carbs and protein; ileum= certain vitamins, iron, and bile salts.
Impairment of the small intestine alters the digestive process resulting in ____ and ____ deficiencies.
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electrolyte and nutrient deficiencies
If peristalsis is too fast, ____ stool is formed. If peristalsis is to slow, ____ stool is formed.
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Too fast= watery; too slow= hard (constipation)
Who should not be encouraged to use the Valsalva maneuver?
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Clients with cardiovascular disease, glaucoma, increased intracranial pressure, a new surgical wound **can cause dysrhythmias and increased BP**
True or False: In a supine position it is impossible to contract the muscles used for defecation.
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True. **this is why we should raise the head of the bed of a bed-ridden patient**
What causes paralytic ileus and how long does it last?
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Any surgery that involves direct manipulation of the bowel. It lasts 24-48 hours typically.
Which anesthetic agents (general) causes an increased risk of constipation?
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General or inhaled. **not local or regional**
Chronic used of laxatives or cathartics can lead to what problems?
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Decreased muscle tone and stimulus response of large intestine, serious diarrhea leading to dehydrations and electrolyte depletion, mineral oil decreases fat soluble vitamin absorption, decreased efficacy of other meds
Which clients are most at risk for fecal impactions?
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Those that debilitated, confused or unconscious
True or False: Food intolerance is the same thing as an allergy.
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False.
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Alterations in elimination are often an early sign/symptom of problems in the ____ system.
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Gastrointestinal
How many stool specimens are required for a (+) C-diff diagnosis?
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2-3 **tested with ELISA**
An ileostomy results in stools that are ____.
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Liquid and frequent.
A colostomy of the ascending colon results in ____ stools.
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Liquid and frequent.
A colostomy of the transverse colon results in ____ stools.
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more solid, formed stool
A colostomy of the sigmoid colon results in ____ stool.
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almost normal
A ____ colostomy is usually performed in an emergency and is usually located in the ____ colon.
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Loop; transverse. **has 2 openings through one stoma**
The ____ colostomy consists of one stoma formed from the proximal end of the bowel with the distal portion of the GI tract or sewn closed.
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End colostomy. **Hartmann's pouch**
A ____ colostomy is usually the end result of treating colorectal cancer or diverticulitis.
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End colostomy.
In a ____ colostomy, the bowel is surgically severed and the two ends are brought out onto the abdomen. Has two stomas, the proximal one is functioning.
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Double Barrel
  
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