Bowel Elimination

Digestion begins in mouth w/chemical breakdown of food. Peristalisis moves food to the stomach through the esophagus. Stomach stores food & mixes it w/digestive juices and empties contents into small intestines.

Any surgery that involves direct manipulation of the bowel temporarily stops peristalisis. This condition is called _______ and usually lasts about 24 to 48 hours

The large intestine is divided into the _____, ______ and _______

To hear bowel sounds, you should start where?

An ______ bypasses the entire large intestines and as a result, stools are frequent and liquid

Colostomy of the ascending colon, stools are:

A colostomy of teh transverse colon generally results in ____________

The sigmoid colostomy resleases ________stool

In this procedure the provider removes the colon, creates a pouch from the end of the small intestine and attaches the pouch to the client's anus

Small intestine creates a pouch; pt empties the pouch several times a day

Normal bowel sounds occur every __to__ seconds and last a second to several seconds

Absent of hypoactive bowel sounds of ______/min occur with _________

High-pitched and hyperactive bowel sounds of ______or more per minute occur:

It is important to visually assess the abdomen BEFORE you palpate.
Look then Listen then palpate!!!!

Those at highest risk for colon cancer inclue:

______ &_______ are the first step in treating constipation in older adults

In the Nclex hospital, if bowel sounds are not heard, you should listen to each quadrant for ______ to establish "no bowel sounds"

When administering an enema, the bag should be raised __________ above the anus

This part of the small intestines absorbs carbs and proteins

This part of the small intestines absorbs water, fats and bile salts

Pressure excerted through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway

In older adults _______causes decreased mesenteric blood flow, thus decreasing absorption from the small intestine

Age related changes in the GI tract:

During emotional stress the digestive process is __________ and peristalsis is _________

If a person becomes depressed, the autonomic nervous system ______impulses and peristalsis ______

A _______ colostomy is usually performed in a medical emergency when health care providers anticipate closure of the colostomy. Usually lg stomas constructed in the transverse colon. The surgeon pulls a loop of bowel onto the abdomen & supports it w/a device

For many clients, ________are a result of sugical treatment of colorectral cancer. Rectum is removed and one stoma is formed from the proximal end of the bowl w/the distal portion of the GI tract eithe removed or sewn closed (Hartmann's pouch)

The _______colostomy consists of two distinct stomas

This is a useful diagnostic screening tool for colon cancer:

A nasogastric tube insertion requires what aseptic technique?

The stool discharged from an ostomy is called

To minimize skin irritation, avoid unnecessary changing of entire ostomy pouching system. You should make sure pouches are emptied when ______to____full

What are the purposes of gastric decompression?