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NUR 321 Bowel Elimination

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NUR 321 Bowel Elimination

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  • June 2, 2024
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  • 2023/2024
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NUR 321 Bowel Elimination
.9 sodium chloride enema - ANS-isotonic solution thus it does not cause electrolyte
imbalance, used especially for children

acute vs chronic diarrhea - ANS-acute 2-3 days
chronic more than a month

Bed pan vs fracture bedpan - ANS-fracture bedpan is for ppl with fractured hip, legs,
body or leg casts.
reg bed pan is for ppl who are able to move with no restrictions

bowel incontinence in children known as - ANS-encopresis

Bristol Stool Chart - ANS-tool that can be used to describe the different consistencies of
stool; describes stool on the continuum from constipation (types 1 and 2), to expected
or ideal stools (types 3 and 4), to diarrhea (types 5 to 7).

can fecal occult blood test (FOBT) be delegated - ANS-yes, only the nurse must
analyze results however

can irrigation of colostomy be delegated? - ANS-yes

Chronic constipation can lead to - ANS-Fecal impaction or obstruction of Bowels

Chronic constipation more likely in which kind of ppl - ANS-Immobile patients or patients
who has nervous system injury

cleansing enema - ANS-solution retained only for a few minutes(5-10) then expel
- 75-100mL
- relieves constipation

Colonoscopy - ANS-- visual examination of entire colon
- screens for cancer
- evaluate for causes of GI bleeding, changes in bowel habits, abdominal pain, and
unexplained weight loss

colostomy - ANS-same as ileostomy except colon is used instead of ileum

, colostomy irrigation - ANS-useful for those with permanent colostomy; removes stool by
inserting sterile water into stoma

colostomy irrigation benefits - ANS-- acts as bowel training
- prevents constipation

complications associated with diverticulitis - ANS-sac can tear, leading to abdominal
pain, bloody stool, and infection called peritonitis

complications of fecal diversions (ostomy) - ANS-- skin irritation
- stoma issues such as hernias, prolapse, or narrowing
- blockages
- diarrhea
- bleeding
- electrolyte imbalances
- infections
- leaking

crohns disease - ANS-chronic disease that causes inflammation in the GI tract, but it
also commonly affects the small intestine

crohns disease complications - ANS-- can cause intestinal obstruction
- fistulas (tunnels that pass from the wall of the intestine to another organ)
- abscesses
- fissures or tears in the anus
- ulcers within the GI tract
- malnutrition
- inflammatory processes located elsewhere in the body

diarrhea - ANS-frequent loose stools

enema - ANS-the placement of a solution into the rectum and colon to relieve
constipation or cleanse the bowel in preparation for diagnostic testing, procedure, or
surgery

enema position - ANS-- sims-on the side with knees flexed up to chest
- or lateral semi prone recumbent positon

fecal incontinence - ANS-the inability to control the passage of feces and gas through
the anus, accidental bowel leakage or the accidental passing of stool

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