Chapter30PromotingBowelElemination

the intestine.

waste eliminated from the colon.

opening into the intestine.

liquefied food and digestive juices.

the distal portion of the large intestine where feces are stored.

the opening of the rectum at the skin.

wavelike movement through the intestines.

intestinal waste material.

circular muscle that closes an orifice.

expel feces.

initiates peristalsis, which in turn initiates the urge to defecate.

closure of the glottis and tightening of abdominal muscles after intra-abdominal pressure increases when one holds one's breath.

a decrease in size or wasting away of a cell, tissure, organ or part.

orange or yellow digestive fluid produced by the liver.

hidden or old blood is suspected when the stool changes from a normal brown appearance to a dark black color with a sticky appearance.

an enlarged vein inside or just outside the rectum.

dark tarry substance -changed from blood moving through the stomach or small intestine, undergoes partial digestion.

stools with an abnormally high fat content are usually foul smelling and float on water.

decreased frequency of bowel movement or passage of hard, dry feces.

constipation.

abdominal distention, accumulation in the intestinal tract when peristalsis is reduced or absent.

when the rectum and sigmoid colon become filled with hardened fecal material.

frequent loose stool.

the lack of volunatry control over the anal sphincter.

revealed by an abdomen that is rounder and tighter in apperance than normal. Assessed by percussion and gently palpate 4 quadrants.

assigned to the nursing assistant.

measures should be taken to assist elimination.

essential after a pt has had a barium x-rays. encourage an increase in fluid intake of 3500 mL/day for the next 24 hrs.

abrasion of the skin.

decreased skin turgor, dry mucous membranes with thick saliva, and increased thirst.

48 hrs without consulting a physician.

used to promote bowel movements are glycerin and bisacodyl.

the introduction of fluid into the rectum and colon by means of a tube.

stimulate the peristalsis and the urge to defecate or to wash out the waste products or feces.

an oil retention enema given to a pt for constipation. Should be retained at least 20 minutes.

given to relieves discomfort from flatus causing distention.

a solution with drugs to reduce bacteria or remove potassium.

stimulates peristalsis by acting as irritant.

no more than 3 large volume enemas are given

activation of the vagal nerve, may cause a slow pulse and cardiac dysrhythmia and alteration in blood pressure may develop.

immediately stop procedure, place pt in suping position, monitor vital signs and notify physician.

based on the principles for establishing regular bowel elimination: adequate diet, sufficient fluids, adequate exercise, and sufficient rest.

a diversion of intenstinal contents from the normal path.

an opening into the intestine or an external tissue pouch with a valve nipple opening.

devices to gather and contain output.

an opening surgically created at the ileum to divert intestinal contents.

fecal matter from an ileostomy is liquid.

an opening into the colon.

around the stoma.

compromised blood supply and should be reported to the physician.

appliance should be correct size for the pt's stoma.