Bowel Elimniation

Question 1

Assessment Data

Answer 1

History-elimination pattern, stool characteristics, bowel diversions, changes in appetite, diet history, medications,. Physical- rectum, abdomen, mouth. Lab tests-fecal specimen,

Question 2

Physiological and physiological factors

Answer 2

Emotions can affect elimination pattern, such as stress. Soma causes body image disturbances and embarrassment. self-esteem issues.

Question 3

Physiological alterations

Answer 3

Constipation- bowel incontinence, diarrhea

Question 4

Nursing implications for diagnostic tests

Answer 4

Colonoscopy- clear liquids, bowel cleanser (GoLytely, enemas). Upper GI- NPO after midnight, increase fluids, no metallic objects.

Question 5

Interventions to promote normal elimination

Answer 5

Encourage fluid intake, fruit juice and water, encourage activity, add wheat bran or fiber to diet, provide laxative or stool softener, provide privacy while voiding.

Question 6

Care for bowel diversion

Answer 6

maintain skin integrity, irrigating a colostomy, secure pouch correctly, nutritional considerations,