Exam (elaborations)
WEB WOC Continence Care: Questions & Complete Answers (100% Accurate)
WEB WOC Continence Care: Questions & Complete Answers (100% Accurate)
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WEB WOC Continence Care: Questions & CompleteAnswers (100% Accurate)
The internal anal sphincter is:
Select one:
a. A continuation of the longitudinal muscles.
b. Stimulated to contract by rectal filling.
c. Reflexively relaxes by rectal filling.
d. Under volitional control. Right Ans - c. Reflexively relaxes by rectal
filling.
The reflex that allows an individual to differentiate among stool, liquid and
gas is known as the:
Select one:
a. Gastrocolic reflex.
b. Sampling reflex.
c. Rectoanal inhibitory reflex.
d. Wink reflex. Right Ans - b. Sampling reflex.
During your initial assessment, Mr. Gutter complains of loss of gas and
occasional liquid stool. You know this is evidence of what type of fecal
incontinence and sphincter problems?
Select one:
a. Passive incontinence & internal anal sphincter damage.
b. Flatus incontinence & internal anal sphincter damage.
c. Urge incontinence & external anal sphincter damage.
d. Transient incontinence & external anal sphincter damage. Right Ans - b.
Flatus incontinence & internal anal sphincter damage.
Upon initial assessment of the patient with bowel dysfunction or incontinence,
which of the following findings would initiate a referral for further evaluation?
Select one:
a. Unintentional weight loss.
b. Rectum full of firm stool.
c. Severe incontinence associated dermatitis.
d. Chronic use of laxatives. Right Ans - a. Unintentional weight loss.
,Bowel motility can be NEGATIVELY affected by:
Select one:
a. Diabetic autonomic neuropathy and Parkinson's Disease
b. Cerebral palsy and melanosis coli.
c. Scleroderma and obesity.
d. Pregnancy and hyponatremia. Right Ans - a. Diabetic autonomic
neuropathy and Parkinson's Disease
An essential assessment during the initial outpatient clinic evaluation of a
patient experiencing diarrhea and fecal incontinence is to:
Select one:
a. Recommend a containment device.
b. Request a stool sample to check for microbial imbalances.
c. Obtain a 7 to 14-day bowel and dietary diary.
d. Refer to primary care for further evaluation. Right Ans - c. Obtain a 7 to
14-day bowel and dietary diary.
During your initial interview, a patient reports his typical stool consistency to
be pellet-like and hard. This finding suggests the patient may have:
Select one:
a. Slow colonic transit.
b. Ineffective absorption of fluid by the bowel wall.
c. Excessive intake of dietary fiber.
d. Ineffective internal sphincter control. Right Ans - a. Slow colonic transit.
An 85-year-old female with advanced dementia and no history of bowel
dysfunction is at risk for fecal incontinence PRIMARILY because dementia will
impair:
Select one:
a. The sampling reflex.
b. Her ability to respond to the sensations of rectal fullness.
c. The ability of the internal sphincter to relax.
d. Colonic transit time. Right Ans - b. Her ability to respond to the
sensations of rectal fullness.
, The FIRST step in developing an effective comprehensive management plan
for a 5-year-old with retentive encopresis is to:
Select one:
a. Conduct radiographic defecography.
b. Clean out the gut with daily Dulcolax tablets.
c. Establish rapport with the parents and provide intensive education and
counseling.
d. Institute extensive dietary modifications. Right Ans - c. Establish rapport
with the parents and provide intensive education and counseling.
A 54-year-old man reports occasional episodes of difficulty controlling his
stool. In the last year he has undergone pelvic radiation for prostate cancer.
Which of the following essential mechanisms for bowel continence is most
likely disrupted?
Select one:
a. Functioning of the pelvic floor musculature.
b. Compliance of the rectum.
c. Integrity of neural pathways.
d. Quality of internal anal sphincter. Right Ans - b. Compliance of the
rectum.
A patient complains of occasional constipation. Your initial recommendations
included fluid, increase activity, and a gradual daily intake of how much fiber?
Select one:
a. 10-14 grams.
b. 15-20 grams.
c. 21-24 grams.
d. 25-38 grams. Right Ans - d. 25-38 grams.
Which of the following descriptions most accurately reflects the
pathophysiologic etiology of fecal incontinence that may occur with
inflammatory bowel disease?
Select one:
a. Myopathies develop that affect the pelvic floor muscles.
b. The external sphincter becomes dysfunctional.
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