TTE Chapter 39 Bowel Quiz and Meds

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Virginia Western Community College *

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Chemistry

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Feb 20, 2024

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NSG 100 Concept: Elimination Name: _____________________________ TTE Pre-Lecture Quiz, Chapter 39, Bowel Elimination Upload to canvas and refer to the due dates outlined in canvas. True/False 1. An ostomy stoma should be dark pink to red and moist. True 2. A nurse understands that hyperactive bowel sounds may indicate peritonitis or a paralytic ileus. False 3. The most common symptom of pinworm infection is perianal itching because adult pinworms migrate to the anal area during the night to deposit eggs. True 4. Chronic diarrhea typically lasts for more than 3 to 4 weeks. true 5. An ileostomy allows liquid fecal content from the ileum of the small intestine to be eliminated through a stoma. true 6. Habitual laxative use is the most common cause of chronic constipation.false 7. When assessing a patient’s abdomen, the correct order to do so is inspection, auscultation, percussion, and palpation. true Fill-in-the-Blank 1. Contractions of the circular and longitudinal muscles of the intestine, known as _____peristalsis______, occur every 3 to 12 minutes, moving waste products along the length of the intestine continuously. 2. Direct manipulation of the bowel during abdominal surgery inhibits peristalsis, causing a condition termed ____paralytic_______ or postoperative ileus. 3. Blood that is hidden in a stool specimen or cannot be seen on gross examination is known as __hemoccult_______ blood, which can be detected with screening tests. 4. Cathartics and ___laxitives_________ are drugs that induce emptying of the intestinal tract. 5. A patient should be instructed to retain the oil from an oil-retention enema for at least ___5_____ minutes for best cleansing results. 6. A common side effect of taking opioids is ____constipation______________. 7. A common side effect of taking antibiotics, antacids or metformin is __diarrhea_____________. Medications (see next page) Please note that for the laxatives there are several types. You should just try to recognize them for the type of laxatives: bulk forming, lubricant, softener, stimulant, and saline. The patient instructions and nursing

NSG 100 Concept: Elimination Name: _____________________________ implications are similar for all of these so you would not need to complete separate information cards for all of these. But you should be able to recognize the type. Chapter 58 Karch is a good reference. Laxatives (Write up 3 using the below format) Bulk forming-psyllium (Metamucil)  What is it used for? ___to raise fiber in diet, treat constipation, for a child consult doctor_____________________________________________________________________________ __  How is it given? (Frequency and administration: _capsule or with powder______orally mixed with water milk or juice__no caffeine, with or without food________________________________  Anything else to consider when administering this drug? _trouble swallowing, allergic reactions rash, swelling, fever, wheezing_________________________________________________________________________ ______ Polyethylene glycol (Miralax) “most recommended by physicians”  What is it used for? _______treat constipation ___________________________________________________________________________  How is it given? (Frequency and administration) ______orally mixed with water juice or Gatorade __1 capful___________________________________  Anything else to consider when administering this drug? _____ Loose, watery, or more frequent stools. •Stomach pain or cramps. Gas. Bloating. Upset stomach. __ Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Very bad dizziness or passing out. Diarrhea. Bleeding from rectum or rectal pain _______________________________________________________________________ ____ Stimulant- bisacodyl (Dulcolax)  What is it used for? ______treat constipation  tablets, suppositories, rectal enemas how its given  ________________________________________________________  How is it given? (Frequency and administration) ____ Bowel Prep 5 to 15 mg (1 to 3 tablets) orally once a day as needed or 10 mg (1 suppository) rectally once a day as needed or 10 mg rectal liquid once a day as needed. Constipation 5 to 15 mg (1 to 3 tablets) orally once a day as needed or 10 mg (1 suppository) rectally once a day as needed or 10 mg rectal liquid once a day as needed _________________________________________________________________ __________  Anything else to consider when administering this drug? ____ no dairy products, calcium, or magnesium within 1 hour of this drug. Do not give antacids within 1 hour before or 1 hour after giving this drug ____________________________________________________________________ _______

NSG 100 Concept: Elimination Name: _____________________________ Be familiar with recognizing the below. You do not need to write these up. Lubricant- mineral oil products Surfactant-softener- docusate sodium (Colace) Saline- magnesium hydroxide (Milk of Magnesia); sodium biphosphate (Fleets) Antidiarrheal (Write up 2 using the below format) Diphenoxylate (Lomotil)  What is it used for? Must be 13+ may treat ibs ______________________________________________________________  How is it given? (Frequency and administration) __Rx needed tablet or liquid form must be given at regular intervals _____________________________________________________________________________  Anything else to consider when administering this drug? _ common side effects: drowsiness, dizziness, headache, numbness in hands/feet, depression, confusion, red or swollen gums , dry mouth, nose, throat, nausea, vomiting , upset stomach, skin rash, itching. __serious side effects: severe constipation, worsening diarrhea, diarrhea that is watery or bloody __alcohol may interact with this medicine. ________________________________________________________________ ______________ Loperamide (Imodium)  What is it used for? __antidiarrheal to slow down the muscles in the intestines with bowel movements _____________________________________________________________  How is it given? (Frequency and administration) oral tablet, liquid, oral capsule, oral suspension chewable tablet, compounding powder. _the usual adult dosage for both acute and chronic diarrhea is 4 mg orally after the first loose stool and 2 mg orally after each unformed stool. Take no more than 16 mg (8 capsules) per day. ____________________________________________________________________ ___________  Anything else to consider when administering this drug? _____taking too much of this medication can cause heart problems or even death, drink plenty of liquids to stay hydrated __________________________________________________________________________ Be familiar with recognizing Pepto. You do not need to write this up. -bismuth subsalicylate (Pepto-

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