FPCC - JACOBS - LCON - BOWEL
ELIMINATION Questions and
answers/Complete Solutions
Effects of pregnancy and bowel elimination - ✔Fluid loss due to nausea and vomiting
Constipation
Irregular food intake
Progesterone slows intestinal motility
Higher risk of hemorrhoids
Decreased appetite
barium enema (BE) - ✔Patient has only clear liquids for lunch and supper, no dairy
Various enemas and laxatives
NPO the day of
Elimination of barium, encourage ingestion of fluids, warn patient of white bowel movements
KUB (flat plate) - ✔It is an x-ray
abdominal ultrasound - ✔Fasting may or may not be required
CT scan (computed tomography) - ✔Contraindicated in patients who are allergic to
Iodinated dye or shellfish, pregnant, unstable vitals
Must lie still, NPO for at least four hours before
Drink plenty of water to avoid dye harming
kidneys Diarrhea can occur
, Magnetic resonance imaging (MRI) - ✔No radiation
No metal objects
Must lie still
esophagogastroduodenoscopy (EGD) -
✔Endoscopy Abstain from eating for 8 to 10 hours
before test No speaking
Hoarseness or sore throat after test
Sedation may cause antegrade amnesia for a few hours
Withhold fluids until patient is alert and the swallowing reflex returns
Bloating, belching, and flatulence after the procedure is normal
Sigmoidoscopy - ✔Endoscopy
Fleet's enemas
Only light breakfast on the morning of endoscopy
Flatulence or gas pains are normal, ambulation may help
Fever, chills, and increasing abdominal pain may indicate a bowel
perforation Watch for bloody bowel movements or rectal bleeding
Colonoscopy - ✔Appropriate bowel preparation
Gas and flatulence is normal
Examine for perforation
Monitor vital signs
Nursing interventions for constipation - ✔Establish and maintain the normal routine for
the client
Privacy
ELIMINATION Questions and
answers/Complete Solutions
Effects of pregnancy and bowel elimination - ✔Fluid loss due to nausea and vomiting
Constipation
Irregular food intake
Progesterone slows intestinal motility
Higher risk of hemorrhoids
Decreased appetite
barium enema (BE) - ✔Patient has only clear liquids for lunch and supper, no dairy
Various enemas and laxatives
NPO the day of
Elimination of barium, encourage ingestion of fluids, warn patient of white bowel movements
KUB (flat plate) - ✔It is an x-ray
abdominal ultrasound - ✔Fasting may or may not be required
CT scan (computed tomography) - ✔Contraindicated in patients who are allergic to
Iodinated dye or shellfish, pregnant, unstable vitals
Must lie still, NPO for at least four hours before
Drink plenty of water to avoid dye harming
kidneys Diarrhea can occur
, Magnetic resonance imaging (MRI) - ✔No radiation
No metal objects
Must lie still
esophagogastroduodenoscopy (EGD) -
✔Endoscopy Abstain from eating for 8 to 10 hours
before test No speaking
Hoarseness or sore throat after test
Sedation may cause antegrade amnesia for a few hours
Withhold fluids until patient is alert and the swallowing reflex returns
Bloating, belching, and flatulence after the procedure is normal
Sigmoidoscopy - ✔Endoscopy
Fleet's enemas
Only light breakfast on the morning of endoscopy
Flatulence or gas pains are normal, ambulation may help
Fever, chills, and increasing abdominal pain may indicate a bowel
perforation Watch for bloody bowel movements or rectal bleeding
Colonoscopy - ✔Appropriate bowel preparation
Gas and flatulence is normal
Examine for perforation
Monitor vital signs
Nursing interventions for constipation - ✔Establish and maintain the normal routine for
the client
Privacy
