nsg 310 test prep discuss factors that affect bowel elimination p973 ● stress
ect identify common alterations in eliminatio
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NSG 310 TEST PREP
Discuss factors that affect bowel elimination (p.973)
● Stress, privacy, immobility, bed bound, surgery, food, fluid, ect
Identify common alterations in elimination & interventions for patients w them.
● Causative agent?
● Constipation- fluid/fiber/exercise, prune juice, coffee or hot bev, medications
○ Watch for laxative abuse, can cause cycle of dependence
○ Abnormal to use laxative to move bowels
○ Valsalva maneuver (bearing down) can stimulate vagus nerve and cause
them to pass out - not okay for cardiac patients, bowel surgery, fissions in
ab, episiotomy surgery
○ Criteria for constipation is 2 or more of following in 12 weeks (2 weeks for
children): straining, hard or lumpy stools, sensation of blockage or
incomplete elimination for more than 25% of BM’s
Formulate nursing diagnosis associated with altered bowel elimination
● Stool occult blood diagnostic test - aka hemoccult
○ Need 3 samples of different occasions
○ Stick samples 2 diff parts of specimen
○ Positive = blue color, guaiac positive
○ Nurses don’t do this anymore, lab techs
○ Can send some w patient
○ Iron, red meat, nsaids, menses or hemorrhoids can cause false pos
○ Send home w hat for collection
○ Ova & parasites collection has to be in container
○ No urine or tp in specimen
● Barium - enema or ingested
○ Have to make sure we get it out of them
○ Will turn to concrete in system
● KUB - kidneys ureter bladder
○ Looking at bowels
● Ct scans - with or without contrast
○ Assess for allergies to iodine, can be nephrotoxic
● Abdominal ultrasound - painless, KY jelly, transducer
● Endoscopies - EGD - mouth to duodenum
○ Need sedation, consent, NPO
○ F & E is concern
○ Bowel prep can cause fatal dehydration
○ Remove dentures
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