WorksheetsPCT Ch 23 Assisting with Bowel Elimination
Total questions: 18
Worksheet time: 20mins
Directions: Complete each sentence by filling in the blank with the correct word or phrase.
1. Every patient should have a bowel movement at least every (a) . (339)
If the patient is bed bound, the (a) position is customary for defecation. (339)
Patients who are constipated, or are having trouble moving their bowels, may be prescribed a _____________.
laxative
antibiotic
analgesic
antacid
Anxiety or stress can contribute to difficulty with defecation.
True
False
Avoid cold water and harsh soaps when washing the skin around the ostomy.
True
False
The patient care technician is caring for a patient who is often constipated. The patient asks what influences the frequency of bowel movements. Which factor(s) influence normal bowel elimination?
Age
Obesity
Fluid intake
Nutrition
Activity level
A patient who has been admitted has difficulty with bowel elimination. The patient care technician knows that care for this patient should promote a normal pattern of elimination. Which would be appropriate?
Provide laxatives.
Establish a routine for defecation.
Increase fiber in the patient's diet.
Regularly check on the patient to monitor defecation habits.
Ostomy pouches must be changed every 3–7 days to:
prevent infection.
prevent excess drainage.
promote healing.
prevent skin impairment.
What is the difference between an ileostomy ad a colostomy?
Describe the difference in stool appearance of an ileostomy and a colostomy.
Ostomy care can be done anytime the ostomy is leaking to prevent skin breakdown and irritation.
true
false
When skin barriers are cut to fit the stoma, ensure
that the ostomy appliance opening is small enough to form a
proper seal which is _______ of an inch larger than the stoma.
1/2 inch larger
3/4 of an inch larger
1 inch larger
1-16 of an inch larger.
Why do you think it is important not to use HOT water and HARSH SOAP when performing ostomy care?
Normal stoma appearance should be
black and dry
purple and moist
dusky and dry
pink and moist
You should never use toilet paper to cover the stoma when providing colostomy care.
t
f
Describe the causes of constipation in older adults
Ostomies can be created because of ......
trauma to the intestine
severe inflammation
intestinal cancer
all of the above
When the PCT is changing a patient's ostomy bag, an odor of fecal material is noted. What should the PCT do?
Notify the nurse of the abnormal finding.
Continue with emptying the ostomy bag.
Ask the patient what he or she ate for lunch.
Aak the patient whether he or she has any room deodorizer.
