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20 Cards in this Set
- Front
- Back
List common alternatives to bowel elimination? (5)
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constipation, fecal impaction, distention, diarhhea, incontinence
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Constipation
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dry hard stool that is not easily passed.
Identify Constipation by: •the consistency of stool •the effort in passing the stool -related to dehydration, decreased activity, postsurgical ileus, inadequate dietary fiber |
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fecal impaction
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a large or hard stool that cannot pass voluntarily. needs enem to soften stool and facilitate defacation
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distention
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(flatulence)presence of air or gas in the intestinal tract. It may be caused by person consuming gas producing liquidds and foods such as carbonated beverages and cabbage or beans.
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diarrhea
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Diarrhea
•urgent passage of watery stool •accompanied by cramping |
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incontinence
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educating the patient about dietary measures, abdominal exercises, and physical activity
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fecal incontinence
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Fecal Incontinence
•inability to control stool elimination |
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What is an enema?
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It is an intallation of a solution in the rectum and sigmoid colon. Cleansing enemas promote complete evacuation of feces from the colon by stimulating peristalsis through infusion of large volumes of solution.
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What is the purpose of an enema?
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-To remove feces when an individual is constipated or impacted
-To remove feces and cleanse the rectum in preparation for an examination -To remove feces prior to a surgical procedure to prevent contamination of the surgical area -To administer drugs or anesthetic agents. |
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SSE? TWE?
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SSE- soap suds enema
TWE- tap water enema |
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HYpertonic solution
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a solution of higher osmotic pressure. Solutions pull fluid from the cells.
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oil retention enema?
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lubricates the rectum and colon, softens the feces, and facilitates defecation.
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Harris Flush
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a return-flow enema, used to expel flatus; alternating flow of fluid into and out of the large intestine stimulates peristalsis
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List Nursing interventions for diagnostic exam preparation?
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requisitions, client prep, explain the procedure, assist the physician
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requisition
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face sheet of specified diagnostic examination
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Prepare patient for diagnostic examination by..?
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The nurse MUST be prepared to answer questions for which the patient may need clarification. Patient may need to know whether nothing can be taken by mouth (NPO). Is a special room or equipment necessary for test? Rememebr, an informed patient will be much more cooperative.
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Explanation of procedure
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Explain to the patient the procedure of his or herdiagnostic examination.
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Role of LVN in specimen collection; client teaching and colection of specimen
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Consider patient's needs and ability to partake in collection of specimen. It might provoke anxiety, embarssment, or discomfort. Provide support for those who are fearful. Remember that children need a clear explanation of procedures. Wear gloves. Wash Hands. Collect specimen in appropriate container.
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Role of LVN in specimen collection equipment
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sterile cotton ball swabs, antiseptic, sterile specimen container with label, disposable gloves, requisition slip
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Role of LVN in specimen collection; laeling
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Remember to label appropriately with patient's id, and complete laboratory requisition form
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