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Bowel Elimination
Objectives
Question | Answer |
---|---|
Describe the process of defecation. | occurs when peristalsis moves fecal waste toward the rectum and the rectum distends, creating an urge to relax the anal sphincters and release stool. |
Name two components of a bowel elimination assessment. | elimination patterns and stool characteristics. |
List five common alternations in bowel elimination. | constipation, fecal impaction, flatulence, diarrhea, and fecal incontinence. |
Name four types of constipation. | primary, secondary, iatrogenic constipation and pseudoconstipation. |
Identify measures within the scope of nursing practice for treating constipation. | retention enemas, prescribed laxatives, encouraged fluid intake, instruct about high fiber foods. see page 741 in textbook. |
Identify two interventions that promote bowel elimination when it does not occur naturally. | inserting a rectal suppository or administering an enema can promote defecation. |
Name two categories of enema administration. | cleansing and oil retention. |
List at least three common solutions used in a cleansing enema. | tap water, normal saline, and soap and water. |
Explain the purpose of an oil retention enema. | to lubricate and soften dry stool. |
Name four nursing activities involved in ostomy care. | providing peristomal care, applying an ostomy appliance, draining a continent ileostomy, and irrigating a colostomy. |