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Ostomies and EnemasFundamentals of Nursing

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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
____ is a surgical procedure that is used in clients who need to have a colectomy for treatment of ulcerative colitis or familial polyps. The colon is removed.
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Ileoanal pouch anastomosis **ileum is connected to anus so client is still continent**
____ ileostomy created using the small intestine, detubularizing it's cylindrical shape and creating a spherical reservoir. Has a continent stoma?
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Kock Continent Ileostomy **treats colitis**
Macedo-Malone Antegrade Continence Enemas (MACE) are used in people with ____.
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Neuropathic or structural abnormalities of the sphincter.
Observable peristaltic waves are a sign of ____.
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an obstruction.
Normal bowel sounds occur every ____ and last a second to several seconds.
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5 to 15 seconds.
You would expect to hear bowel sounds that are ____ in pitch or tinkling if a distention is present.
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High
____ bowel sounds occur with small intestine obstruction or inflammation.
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Hyperactive (35 or more a minute)
Tests for measuring fecal fat require a ____ collection of stool.
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3-5 day
FOBT is useful for screening for ____.
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colon cancer
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How many FOBT test must be performed for a confirmed (+) result?
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3
What foods can cause a false (+) FOBT
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Red meat, poultry, fish, Vitamin C, some raw veggies, aspirin/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, decrease 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 ____.
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Pure castile soap, high=whole colon, low=rectum and sigmoid
  
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