Nurs 200 - Exam 2 - Chapter 44: Bowel Elimination

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Self-designed quiz based on Chapter 44 (Bowel Elimination) from Fundamentals of Nursing textbook. In cases with multiple correct answers, select the BEST answer.

  
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1.  The primary organ of bowel elimination is...
A.
B.
C.
D.
2.  The gastrointestinal tract is also known as...
3.  True or False: The ileocecal (aka ileocolic) valve is the connection between the ileum of the small intesitne and the large intestine
4.  The large intestine in adults is approximately how long?
A.
B.
C.
D.
E.
5.  The _____ is the first part of the large intestine
6.  From the cecum, the digestive contects travel through the colon, which consists of several segments. Cecum --> _____ colon ---> ______  _____ (turn) ---> _____ colon ---> _____  _____ (turn) ---> ____ colon --> _____ colon
7.  The colon is enervated by the _________ nervous system
8.  Which of the following is true
A.
B.
C.
D.
9.  Which of the following is the definition of intestinal gas?
A.
B.
C.
D.
10.  Which sphincter is under conscious/voluntary control?
11.  What refers to the emptying of te large intestine?
A.
B.
C.
D.
E.
12.  Which of the following is not a muscle used to create pressure in aiding in defecation?
A.
B.
C.
D.
13.  What is the term used to descibe the technique of "bearing down" when passing a bowel movement?
A.
B.
C.
D.
14.  Is the stool from formula milk or breast milk more likely to be brown?
15.  Which of the following is true?
A.
B.
C.
D.
16.  At what age are the internal and external anal sphincters fully developed, leading to the voluntary control of defecation?
A.
B.
C.
D.
E.
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17.  Which of the following accurately describe constipation?
A.
B.
C.
D.
E.
18.  ______ foods increase the bulk in fecal material. Bulkier feces increase pressure on the intestinal wall, which serves as a stiimulus for peristalsis.
19.  Alcohol and coffee have a...
A.
B.
C.
D.
20.  Chocolate has a....
A.
B.
C.
D.
21.  Certain fruits and vegetables and bran have a...
A.
B.
C.
D.
22.  Medication with the potential to cause gastrointestinal bleeding (e.g. anticoagulants, aspirin, etc) may cause the stool to appear:
A.
B.
C.
D.
E.
23.  What type of medication may result in a white discoloration or speckling of stool?
24.  In what order should one perform an abdominal assessment?
A.
B.
C.
D.
E.
25.  A typical range for bowel sounds is 5 - ___ per minute, depending on the rate of peristalsis.
26.  Bowel sounds are descibed as audibl, inaudible, ______, _______.
27.  When optaining a stool specimen, observe _________ aspetic techniques.
28.  ______ in stool is blood that his hidden in the specimen or cannot be seen on gross examination. Can be deteced with simple screening tests.
29.  What colour stool intdicate upper gastrointestinal bleeding, such as from a peptic ulcer.
30.  Bright-red blood in stool is an indicator of __________ bleeding, such as from _________ or polyps.
A.
B.
C.
D.
E.
31.  When preserving a specimen en-route to the laboratory, the most efficient method is:
A.
B.
C.
D.
E.
32.  _________ is the visual examination of the large intestine from the anus to the ileocecal valve. Extending from the _______ to the ______
33.  _______ is the direct visual examination of body organs or cavities.
34.  ________ is the visual examination fo the sigmoid colon, the rectum, and the anal canal.
35.  _________ is the visual examination of the esophagus, the stomach, and the duodenum.
A.
B.
C.
D.
E.
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36.  What is used to visualize gastrointestinal structures and reveal any inflammation, ulcers, tumours, strictures, or other lesions.
37.  ___ ____ ___ tests are used to detect gastrointestinal bleeding
38.  What type of examination is useful in also obtaining a biopsy tissue sample?
39.  When seating a patient in bed to use a bed pan, situate the head of the bed between ____ and ____ degrees.
A.
B.
C.
D.
E.
40.  To promote regular defecation, ______ to ______ mL intake and a _____ ______ diet intake is recommended.
41.  A patiet that is on ____ ____ who takes constipating medication (such as ______ and anticholinergics) are at high risk for constipation
42.   Patients with reduced _____ or ______ in their diets are at high risk for constipations.
43.  Which psychological condition makes patients at high risk for constipation?
44.  Patients with ________ ________ _______ diseases or local lesions that cause pain, are at high risk for constipation
45.  Increasing fiber intake without drinking enough fluids can lead to a ________ ________
46.  __________ are drugs that induce emptying of the intestinal tract, and have a stronger effect on the intesties than do its similar counterpart.
47.  ________ is a type drug used to empty the intestinal tract in preparation for surgery or diagnositc tests.
48.  The most common cause of chronic constipation is the habitual use of ________
49.  __________ is the passage of excessively liquid, ______ stools.
50.  Diarrhea is a _________ response with the cause is irritants in the intestinal tract.
51.  After diarrhea stops, suggest the intake of fermented pdairy products, such as ________ or __________, to promote the return of normal bowel flora.
52.  When having diarrhea, if oral intake is possible, the patient should be advised to avoid: highly spiced foods, _____ fruits and vegetables, rich foods, especially _______, and _______ foods.
53.  With acute diarrhea, antidirraheal ages are avoided/encouraged
54.  __________ is the ecessive formation of gasses in the stomach or intestines.
55.  When flatulence is not expelled but accumulates in the intestinal tract, the condition is referred to as ______  ______ or _______.
56.  If ambulation does not relieve flatulence, the physican may order a _______ _____ to be inserted. This helps to stimulate ____ and provide a massageway for the escape of flatus.
57.  The three types of enemas are:
58.  True or false: Cleansing enemas are prescribed to expel flatus
59.  Which of the following is a reason for using a cleansing enema:
A.
B.
C.
D.
E.
60.  The most common types of solutions used for cleansing enemas are: tap water (________ solution), normal saline solution (_______ solution), soap solution, and ________ solution.
61.  Hypotonic and isotonic enemas are
A.
B.
C.
D.
62.  Hypertonic solution preparations are available commercially and are administered in _______ volumes
63.  True or false: Hypertonic enemas are in larger doses than hypotonic enemas
64.  _______ are retained in the bowel for a prolonged period of time
65.  A _____  _____, or ______  _____, enema is occasionally prescribed to expel flatus
66.  A Fleet enema is a:
67.  A ______ is a conical or oval solid substance shaped for easy insertion into a body cavity and designed to melt at body temperature.
68.  What is the prolonged retention or an accumulation of fecal material that forms a hardened mass in the rectum, that prevents the passage of normal stools.
69.  Which of the following is a sign of fecal impaction?
A.
B.
C.
D.
E.
70.  What is the inability of the anal sphincter or control the discharge of recal and gaseous material.
71.  Bowel incontinence can be due to:
A.
B.
C.
D.
E.
72.  True or False:The difference between fecal impaction and constipation is that constipation is slow moving stool who's water is reabsorbed by the body. Fecal impaction on the other hand is stool that is "stuck"
73.  A fecal incontience ____ is a device that can be secured around the anal opening and is attached to gravity drainage, allowing liquid stool (diarrhea) to accumulate in a collection bag
74.  Which of the following is false about bowel training programs?
A.
B.
C.
D.
E.
75.  What is the term used for a surgically formed opening from the inside of an organ to the outside 
76.  What is the part of the ostomy that is attached to the skin?
77.  What allows liquid fecal contents from the small intestine to be eliminated through the stoma?
78.  A ____  permits forced feces in the large intestine to exti through the stoma.
79.  A colostomy in the mid-right side of abdomen is what kind of colostomy?
80.  A colostomy in the lower-center (slightly to the left) of the abdomen suggests what kind of colostomy?
81.  An ostomy in which no matter reaches the colon is known as a:
82.  A stomy on the center-left side of the abdmoment suggests a:
83.  Which of the following is not normal in a stoma:
A.
B.
C.
D.
E.
84.  A dark or purple-blue stoma may indicate compromised ____ or ischemia.
85.  One can recommend______  _____ vegetables to patients with an ostomy to deoderize feces; this is due to ______ in the food.
86.  Mass peristalsis sweeps occur ___ to ____ times every ____ hours
87.  Onions have a
A.
B.
C.
D.
88.  Cabbage has a
A.
B.
C.
D.
89.  Cauliflower has a
A.
B.
C.
D.
90.  _____ _____ cause black stool and severe constipation
91.  ______ cause pink to red to black stools
92.  True or false: The order to scheduling diagnostic tests is: fecal occult blood tests, barium studies, endoscopic examination
93.  Which of the following is not a type of direct visualization study
A.
B.
C.
D.
E.
94.  Which of the following is not an indirect visualization study
A.
B.
C.
D.
E.
95.  The methods of emptying the colon of feces are: enemas, rectal suppositories, digital removal of stool, and ______ _______
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