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15 Cards in this Set
- Front
- Back
What is the result of unrecognized constipation?
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Fecal impaction (stool blocks small intestine)
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effluent
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the fecal drainage from a stoma
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How much should the client drink per day, if not contraindicated, to reduce risk of constipation?
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2000-3000 ml of fluid
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Name some factors that can lead to constipation:
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1) dehydration
2) decreased activity 3) postsurgical ileus 4) opioid use 5) inadequate dietary fiber |
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When is fecal impaction utilized?
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When administration of enemas and suppositories has been unsuccessful.
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What may happen if the vagus nerve is stimulated while performing digital removal?
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The heart rate may slow
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constipation
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infrequent stools
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Name two of the three criteria that must be present for at least 3 months for a dx of functional constipation to be made:
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1) straining c defecation at least 1/4 of the time
2) lumpy or hard stools 1/4 of the time 3) sensation of incomplete evacuation at least 1/4 of the time 4) two or fewer bowel movements/week |
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When might digital fecal removal be contraindicated?
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If client is on anticoagulant therapy (may cause bleeding of the mucosa)
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What is needed in order for a digital fecal removal to be performed?
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A physicians order (d/t possible vagus nerve stimulation)
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Which position should the client be in when performing DFR?
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left side-lying w/ knees flexed
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How should fingers be advanced in the rectum?
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along rectal wall toward the umbilicus.
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How are the fingers moved to loosen/fragment fecal mass?
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Scissor-like movement or hooking movement (if using one finger)
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What should be assessed periodically while performing DFR?
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heart rate, sx's of fatigue
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How long after DFR should the client be monitored for bradycardia?
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1 hour
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