Exam (elaborations)
NUR 326 ( LATEST 2024 / 2025 ) ELIMINATION | QUESTIONS & ANSWERS (SOLVED)
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NUR 326 ( LATEST 2024 / 2025 ) ELIMINATION | QUESTIONS & ANSWERS (SOLVED)
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NUR 326 Elimination1. normal bowel elimination
Answer
GI tract
breakdown/absorption of nutrients from ingested foods
2. upper GI tract
Answer
mouth, salary glands, esophagus, and stomach
3. lower GI tract
Answer
smal intestine, large intestine (colon), rectum
4. organs
Answer
liver, pancreas, gallbladder
5. populations at risk for slowed elimination
Answer
children (greatest risk), pregnant women, and older adults
6. clinical management of GI retention/ incontinence
Answer
hydration adequate dietary fiber
regular toileting practice regular exercise
avoidance of environmental contamination
7. what are the most common clinical management
Answer
collaborative intervention s for GI retention/incontinence
pharmacotherapy (stool softener)
incontinence managments
invasive procedure (LAST RESORT)
8. what is the last resort for clinical management of GI retention /incontinence-
,Answer
invasive procedure
9. pharmacotherapy for bowel elimination
Answer
laxatives stool softners
antibiotcs antispasmodics analgesics
10. alterations
Answer
11. fecal incontinence
Answer
recurrent involuntary passage of stool from the rectum for at least 3 months
12. fecal incontinence contributing factors
Answer
weakness/disruption of internal or external anal sphincter
damage to nerves pr anal tissue amount and consistency of stool motility
inflammtion
disorder of evil floor (rectal prolapse)
impaction with overflow
diarrhea
13. fecal incontinence treatment
Answer
depends on the underlying cause regular defecation/ bowel training
high fiber diet & psyllium fiber supplement increase intake of caffeine free foods
eliminate foods that cause diarrhea and rectal irritation kegal exercises
treat diarrhea IF applicable (make sure you know the cause) remove fecal impaction if
applicable
, stop laxatives and stool softners
14. fecal incontinence major priority
Answer
skin integrity
15. fecal incontinence nursing implications
Answer
timed toileting maintain skin integrity
bowel management system (do not overinflated the cuff)
16. bowel retention/ constipation
Answer
fewer than 3 BM weekly OR BMs that are hard, dry, small, or difficult to pass
obstruction, inflammation, or ineffective neuromuscular activation leads to the reten- tion of stool
in the rectum
17. constipation is a not a
Answer
symptom, disease
18. bowel retention contributing factors
Answer
ignoring the "urge to go" decreased peristalsis
insufficient dietary fiber or fluids deceased activity
medications (opioids, antidepressants, anticonvulsants) emotions (fatigue/stress)
pregnancy
recent surgery
19. bowel retention more clinical manifestations
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