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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"
About This Quiz
Nursing is one of the noble professions. Play this exciting Nursing Bowel Elimination quiz and see how well you know about it. The quiz contains loads of questions that will not only gauge your knowledge but will increase your knowledge by many folds. The quiz contains questions ranging from easy, medium to hard levels. If you find the quiz helpful, do share it with your friends and family. All the best!
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2.
True or false: The order to scheduling diagnostic tests is: fecal occult blood tests, barium studies, endoscopic examination
Explanation The correct answer is true. The order to scheduling diagnostic tests is typically fecal occult blood tests, followed by barium studies, and then endoscopic examination. This sequence allows for a systematic approach to diagnosing gastrointestinal disorders, starting with a non-invasive test (fecal occult blood tests) to screen for blood in the stool, followed by barium studies to visualize the gastrointestinal tract, and finally an endoscopic examination to directly visualize the inside of the digestive system. This order helps to ensure a thorough evaluation and accurate diagnosis.
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3.
True or false: Hypertonic enemas are in larger doses than hypotonic enemas
Explanation p. 1563-1574
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4.
What colour stool intdicate upper gastrointestinal bleeding, such as from a peptic ulcer.
Explanation p. 1563
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5.
The most common cause of chronic constipation is the habitual use of ________
Explanation p. 1569
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6.
_______ is the direct visual examination of body organs or cavities.
Option 1
Endoscopy
Option 3
Option 4
Correct Answer
A. Endoscopy
Explanation
Endoscopy is the direct visual examination of body organs or cavities. This medical procedure involves inserting a flexible tube with a light and camera at its tip into the body through natural openings or small incisions. It allows doctors to view and diagnose conditions inside the body, such as the gastrointestinal tract, respiratory system, or urinary system, without the need for invasive surgery. Endoscopy is commonly used to detect and treat various diseases and conditions, including ulcers, polyps, tumors, and inflammation. It provides valuable information for accurate diagnosis and helps guide appropriate treatment options.
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7.
A ______ is a conical or oval solid substance shaped for easy insertion into a body cavity and designed to melt at body temperature.
Correct Answer suppository
Explanation p. 1575
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8.
What is the term used for a surgically formed opening from the inside of an organ to the outside
Correct Answer ostomy
Explanation p. 1580
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9.
__________ is the ecessive formation of gasses in the stomach or intestines.
Correct Answer flatulence
Explanation p. 1572
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10.
Hypertonic solution preparations are available commercially and are administered in _______ volumes
Correct Answer small
Explanation p. 1574
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11.
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.
Correct Answer fecal impaction
Explanation Fecal impaction refers to the prolonged retention or accumulation of hardened fecal material in the rectum, which obstructs the passage of normal stools. This condition occurs when stool becomes dry and compacted, making it difficult to pass. Fecal impaction can cause symptoms such as severe constipation, abdominal pain, bloating, and difficulty in bowel movements. Treatment usually involves softening the stool with medications or enemas, and in severe cases, manual removal of the impacted feces may be necessary.
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12.
What is the part of the ostomy that is attached to the skin?
Correct Answer stoma
Explanation The part of the ostomy that is attached to the skin is called the stoma. A stoma is a surgically created opening in the body that allows waste to pass out of the body when the normal route is not possible. It is usually located on the abdomen and is connected to a bag or pouch that collects the waste. The stoma is attached to the skin through a process called stoma care, which involves cleaning and protecting the area around the stoma to prevent infections and other complications.
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13.
Onions have a
Laxative effect
Constipating effect
Gas-producing effect
It depends
Correct Answer
A. Gas-producing effect
Explanation
Onions have a gas-producing effect because they contain a high amount of fructans, which are a type of carbohydrate that some people find difficult to digest. When these fructans reach the large intestine, they are fermented by bacteria, leading to the production of gas. This can cause bloating, discomfort, and flatulence in individuals who are sensitive to fructans.
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14.
Cabbage has a
Laxative effect
Constipating effect
Gas-producing effect
It depends
Correct Answer
A. Gas-producing effect
Explanation
Cabbage has a gas-producing effect because it contains certain carbohydrates that are not fully digested in the small intestine. These undigested carbohydrates then reach the large intestine where they are fermented by bacteria, leading to the production of gas. This can cause bloating and flatulence in some individuals.
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15.
Cauliflower has a
Laxative effect
Constipating effect
Gas-producing efffect
It depends
Correct Answer
A. Gas-producing efffect
Explanation
Cauliflower has a gas-producing effect because it contains certain carbohydrates that are difficult to digest. These carbohydrates can ferment in the gut, leading to the production of gas. This can cause bloating and discomfort in some individuals.
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16.
Patients with reduced _____ or ______ in their diets are at high risk for constipations.
Fiber, fluid
Starch, fluid
Glucose, fiber
Vitamins, minerals
Correct Answer
A. Fiber, fluid
Explanation
Patients with reduced fiber or fluid in their diets are at high risk for constipation. Fiber adds bulk to the stool and helps it move through the digestive system more easily, preventing constipation. Fluids, especially water, help soften the stool and make it easier to pass. Therefore, a lack of fiber and fluid in the diet can lead to constipation.
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17.
In what order should one perform an abdominal assessment?
Auscultation, inspection, percussion, palpation
Percussion, palpation, auscultation, inspection
Inspection, percussion, auscultation, palpation
Inspection, auscultation, percussion, palpation
Inspection, percussion, palpation, auscultation
Correct Answer
A. Inspection, auscultation, percussion, palpation
Explanation
Palpation may distrub normal peristalsis and bowel movement (p. 1560)
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18.
What is the term used to descibe the technique of "bearing down" when passing a bowel movement?
Valsalva maneuver
Hemorrhoids
Defecation
Bowel elimination
Correct Answer
A. Valsalva maneuver
Explanation
p. 1555
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19.
Alcohol and coffee have a...
Laxative effect
Constipating effect
Gas-producing effect
It depends
Correct Answer
A. Laxative effect
Explanation
p. 1557
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20.
______ in stool is blood that his hidden in the specimen or cannot be seen on gross examination. Can be deteced with simple screening tests.
Correct Answer occult blood
Explanation p. 1562
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21.
A dark or purple-blue stoma may indicate compromised ____ or ischemia.
Correct Answer circulation
Explanation A dark or purple-blue stoma may indicate compromised circulation or ischemia. This means that there may be a restriction or blockage in the blood flow to the stoma, leading to inadequate oxygen and nutrient supply. This can result in tissue damage and discoloration. Monitoring the color of the stoma can help identify potential circulation issues and prompt appropriate medical intervention to prevent further complications.
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22.
The most common types of solutions used for cleansing enemas are: tap water (________ solution), normal saline solution (_______ solution), soap solution, and ________ solution.
___ ____ ___ tests are used to detect gastrointestinal bleeding
Cell occult blood
ELISA
Fecal occult blood
PCR
Correct Answer
A. Fecal occult blood
Explanation
Fecal occult blood tests are used to detect gastrointestinal bleeding. These tests are designed to identify small amounts of blood in the stool that may not be visible to the naked eye. This can be an indication of various gastrointestinal conditions such as ulcers, polyps, or colorectal cancer. The test involves collecting a stool sample and analyzing it for the presence of blood using chemical reagents or immunological methods. By detecting occult blood, these tests can help in the early diagnosis and monitoring of gastrointestinal bleeding.
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24.
Chocolate has a....
Laxative effect
Constipating effect
Gas-producing effect
It depends
Correct Answer
A. Laxative effect
Explanation
p. 1557
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25.
Which of the following is a reason for using a cleansing enema:
Help establish regular bowel function during bowel training
Relieve constipation
Relieve fecal impaction
Promote vizualization of the intestinal tract by radiographic or instrument examination
All of the above
Correct Answer
A. All of the above
Explanation
p. 1573
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26.
Certain fruits and vegetables and bran have a...
Laxative effect
Constipating effect
Gas-producing effect
It depends
Correct Answer
A. Laxative effect
Explanation
p. 1557
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27.
A ____ permits forced feces in the large intestine to exti through the stoma.
Correct Answer colostomy
Explanation A colostomy is a surgical procedure that creates an opening called a stoma on the abdomen, allowing feces from the large intestine to exit the body. This procedure is typically performed when there is a need to bypass or remove a damaged or diseased section of the colon or rectum. The stoma is connected to a bag that collects the waste, providing an alternative route for feces to leave the body.
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28.
The primary organ of bowel elimination is...
Small intestine
Stomach
Rectum
Large Intestine
Correct Answer
A. Large Intestine
Explanation
(p. 1553)
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29.
An ostomy in which no matter reaches the colon is known as a:
Correct Answer ileostomy
Explanation An ileostomy is a type of ostomy where the small intestine is brought to the surface of the abdomen to create a stoma. In this type of ostomy, no matter reaches the colon because the colon is bypassed entirely. The waste products from digestion are eliminated through the stoma and collected in a pouch attached to the abdomen. This can be necessary in cases where the colon is diseased or damaged and needs to be bypassed for proper elimination of waste.
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30.
Which of the following is not a muscle used to create pressure in aiding in defecation?
Thigh muscles
Abdominal muscles
Diaphragm
Pectoral muscles
Correct Answer
A. Pectoral muscles
Explanation
(p. 1555)
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31.
When seating a patient in bed to use a bed pan, situate the head of the bed between ____ and ____ degrees.
30; 90
30; 45
45; 90
45; 55
30; 55
Correct Answer
A. 30; 45
Explanation
p. 1567
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32.
What allows liquid fecal contents from the small intestine to be eliminated through the stoma?
Correct Answer ileostomy
Explanation An ileostomy is a surgical procedure that creates an opening, called a stoma, in the abdominal wall. This allows liquid fecal contents from the small intestine to be eliminated through the stoma. The procedure is typically done when the colon or rectum is removed or bypassed, and it diverts the flow of waste products out of the body, bypassing the natural route through the anus. This helps individuals who have certain medical conditions, such as inflammatory bowel disease or colorectal cancer, to manage their bowel movements effectively.
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33.
Which of the following is true
The sympathetic nervous system promotes movements relating to bowel
The parasympathetic nervous system inhibits movements relating to bowel
Peristalsis is the contractions of circular and longitudinal muscles of the intestine and occur every 3 to 12 minutes
Hemorrhoids are if the arteries in the rectum become abnormally distended
Correct Answer
A. Peristalsis is the contractions of circular and longitudinal muscles of the intestine and occur every 3 to 12 minutes
Explanation
Sympathetic nervous system inhibits bowel movements. Parasympathetic nervous system relaxes the body and promotes bowel lmovements. Hemorrhoids are related to the VEINS of the rectum becoming abnormally distended (p. 1554)
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34.
Which of the following accurately describe constipation?
Changes in place can lead to consitpation
When the feces remain in the rectum, water is reabsorbed, makming the stool hard
Constipation is often a chronic problem for older adults
Dietary manipulation is the initial treatment for constipation
All of the above
Correct Answer
A. All of the above
Explanation
p. 1556
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35.
__________ is the passage of excessively liquid, ______ stools.
Which psychological condition makes patients at high risk for constipation?
Lack of sleep
Drugs
Depression
None of the above
Correct Answer
A. Depression
Explanation
Depression can make patients at high risk for constipation. Depression is a psychological condition that affects the brain and can disrupt the normal functioning of the digestive system. It can lead to a decrease in bowel movements and slower transit time in the intestines, resulting in constipation. Additionally, depression can also cause changes in appetite and eating patterns, which can further contribute to constipation. Therefore, depression can be a significant factor in increasing the risk of constipation in patients.
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37.
Bright-red blood in stool is an indicator of __________ bleeding, such as from _________ or polyps.
Upper gastrointestinal; peptic ulcer
Lower gastrointestinal; peptic ulcer
Upper gastrointestinal; hemorrhoids
Lower gastrointestinal; hemorrhoids
Upper gastrointestinal; hernia
Correct Answer
A. Lower gastrointestinal; hemorrhoids
Explanation
(p. 1563)
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38.
When preserving a specimen en-route to the laboratory, the most efficient method is:
Preservatives
Heat
Refrigeration
Freezing
Putting the specimen on ice
Correct Answer
A. Refrigeration
Explanation
p. 1563
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39.
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
Correct Answer pouch
Explanation A fecal incontinence pouch 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. This pouch provides a means of managing fecal incontinence by collecting and containing the liquid stool, preventing it from soiling clothing or causing embarrassment for the individual. It is a practical solution for individuals who experience difficulty controlling bowel movements and need a discreet and convenient method of managing their condition.
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40.
What refers to the emptying of te large intestine?
Defecation
Stool
Bowel movement
A and C
All of the above
Correct Answer
A. A and C
Explanation
Defecation refers to the emptying of the large intestine (p. 1555). Defecation is the process of bowel elimination; a bowel movement (p. 1554)
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41.
A colostomy in the mid-right side of abdomen is what kind of colostomy?
Correct Answer ascending colostomy
Explanation An ascending colostomy is a surgical procedure in which the colon is brought to the surface of the abdomen on the mid-right side. This allows stool to bypass a diseased or blocked portion of the colon and exit through an opening called a stoma. This type of colostomy is specifically located on the mid-right side of the abdomen, as mentioned in the question.
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42.
Which of the following is the definition of intestinal gas?
Flatulence
Fart
Flatus
Fleetus
Correct Answer
A. Flatus
Explanation
p. 1555
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43.
After diarrhea stops, suggest the intake of fermented pdairy products, such as ________ or __________, to promote the return of normal bowel flora.
The large intestine in adults is approximately how long?
2 ft
4 ft
5 ft
7 ft
12 ft
Correct Answer
A. 5 ft
Explanation
p. 1553
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45.
______ cause pink to red to black stools
Correct Answer
Explanation The consumption of certain foods or medications can cause pink to red to black stools. Foods like beets, red gelatin, or red drinks can cause a temporary change in stool color. Additionally, certain medications like iron supplements or bismuth subsalicylate (found in Pepto-Bismol) can also lead to dark or black stools. This change in color is usually harmless and resolves on its own once the food or medication is no longer being consumed.
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46.
Which of the following is a sign of fecal impaction?
Liquid fecal seepage with passage of normal feces
Solid fecal seepage
Constipation
Liquid fecal seepage with no passage of normal feces
None of the above
Correct Answer
A. Liquid fecal seepage with no passage of normal feces
Explanation
p. 1575
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47.
A stomy on the center-left side of the abdmoment suggests a:
Correct Answer descending colostomy
Explanation A stoma on the center-left side of the abdomen suggests a descending colostomy. This type of colostomy involves bringing the end of the descending colon to the surface of the abdomen, creating a stoma. The descending colon is located on the left side of the abdomen, so a stoma in this area indicates a descending colostomy. This procedure is commonly performed to divert the fecal flow in cases of colorectal diseases or obstructions.
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48.
________ is a type drug used to empty the intestinal tract in preparation for surgery or diagnositc tests.
Correct Answer laxatives
Explanation p. 1569
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49.
Which of the following is false about bowel training programs?
For patients with a history of chornic constipation
Affects themes within the patients control
Can involve food and drink
Time for defecation is to be taken into consideration
None of the above
Correct Answer
A. None of the above
Explanation
p. 1578
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