MedSurg Exam 2- GI and Bowel Elimination Exam Questions And Answers (Verified And Updated)

MedSurg Exam 2- GI and Bowel Elimination Exam Questions And Answers (Verified And Updated) Factors that affect defecation - answer- age - diet - fluid intake - physical activity - psychologic - personal habits - pain - anesthesia and surgery - meds - diagnostic tests Normal age related changes that affect GI function - answer- older adults lose muscle tone in the perineal floor and anal sphincter - nerve impulses to the anal region slow - decreased peristalsis Fiber purpose and different foods with fiber - answer- flushes fats and waste to decrease risk of colon cancer - non-digestible residue-bulk foods, whole grains, fruits, vegetables what do gas producing foods do - answerdistend intestinal walls common food intolerance - answerlactose celiac definition - answerautoimmune disorder where body attacks cells of small intestines with gluten ingestion fluid intake importance and normal range - answer- fluid liquifies intestinal content - adult fluid intake mL per day physical activity benefit on GI function and guidelines - answer- promotes peristalsis - encourage early ambulation after surgery and when able with illness - muscle tone is sometimes weakened or lost, increasing risk of constipation stress impact on GI function - answer- accelerates the digestive process and peristalsis is increased - can cause diarrhea and gaseous distention - exacerbates ulcerative colitis, IBS, ulcers and Crohn's depression impact on GI function - answerslows impulses and decreases peristalsis personal habits that can affect GI - answer- home vs work timing - privacy with hospitalized patient - sights, sounds and odors associated with bedpans cause embarrassment - patients ignore urge and begin constipation cycle True or false: defecation is normally painful - answerFalse. It is normally painless. What results is painful defecation - answer- hemorrhoids - rectal surgery - rectal fistulas - abdominal surgery What do patients do that contributes to constipation - answersuppress the urge to defecate general anesthesia effect on peristalsis? - answerslows down or stops peristalsis Bowel surgery effect on peristalsis and why? - answertemporarily stops peristalsis bc of manipulation Paralytic ileus results from what? S/S? - answer- results from medications, spinal cord injury or other types of surgery - S/S= constipation, abdominal distention, N and V Opioids effect on peristalsis - answerslows peristalsis Antibiotics effect on GI tract - answerproduce diarrhea NSAIDS and aspirin effect on GI tract - answerUpper GI bleeding