Bowel Elimination 2

Question 1

nursing diagnosis

Answer 1

bowel incontinence, constipation (colonic, perceived), diarrhea, impaired skin integrity (can have skin breakdown)

Question 2

bowel incontinence

Answer 2

state when have change in bowel habits involving passing of stool

Question 3

nursing care plan

Answer 3

assessment, nursing diagnosis, planning - interventions and goals/outcomes, interventions, evaluation

Question 4

health promotion for common GI problems

Answer 4

Promotion of normal defecation; Sitting position; Positioning on bedpan; Privacy

Question 5

Cathartics and laxatives

Answer 5

Bulk forming, emollient or wetting, saline, stimulants, or lubricants

Question 6

Antidiarrheal agents

Answer 6

Can be over the counter; Can be opiates

Question 7

most common enemas

Answer 7

cleansing

Question 8

tap water enemas

Answer 8

will will absorb into interstalis spaces

Question 9

normal saline enemas

Answer 9

same osmotic pressure as intestial spaces, soft tissue

Question 10

enemas

Answer 10

Cleansing; Tap water; Normal saline; Hypertonic solutions; Soapsuds; Oil retention; Others

Question 11

for enemas turn pt on

Answer 11

left side

Question 12

digital removal of stool

Answer 12

The last resort; Physician’s order; Valsalva response - can have vasal nerve stimulation and vital signs drop

Question 13

Continuing and Restorative Care

Answer 13

Care of ostomies; Pouching ostomies; Bowel training; Skin integrity

Question 14

nasogastic tube purposes

Answer 14

Decompression; Enteral feeding; Compression; Lavage

Question 15

evaluation

Answer 15

The fifth step in the nursing process; The effectiveness of care depends on how successful the client is in achieving goals and outcomes; Nursing interventions may be altered if necessary.

Question 16

nursing history

Answer 16

medications regularly, whats their description of norma stools and whats normal for them, intake of fluids, exercise, surgery of GI tract/abdominal surgery, social issues (living area)

Question 17

many people say they have diarrhea but they really have

Answer 17

extra fluid and soft stool

Question 18

physical

Answer 18

look at mouth (if sores or sore throat then diet changes) inspect abdominal, hyperactive sounds

Question 19

fecal characteristics

Answer 19

adults brown stool

Question 20

red stool

Answer 20

indicate GI bleeding

Question 21

pale stool

Answer 21

malabsorption of stool

Question 22

if odor with stool

Answer 22

not normal smell then could be many kinds of infection

Question 23

if very small stool

Answer 23

inflammation of gut or normality of gut

Question 24

stool specimen most common to look for

Answer 24

blood; colon cancer and bleeding ulcer

Question 25

stool red not from blood can be

Answer 25

if pt ate red meat, then blood from animal

Question 26

if pt on aspirin then stool

Answer 26

can have blood in it