Variables influencing bowel elimination
What type of medication is used for constipation?
What is laxatives
What side is the patient laid on to administer an enema?
They are laid on their left side
When should the nurse perform hand hygiene before collecting the sample?
Before and after the procedure.
An opening into the colon that permits feces to exit through the stoma
Colostomy
What drug class can cause constipation?
Opioids because the opioids bind to the gastric receptors thus disrupting peristalsis
What diet types promote bowel elimination?
What is a high-fiber diet
How are enemas absorbed?
They are absorbed through the rectal mucosa
Is the collection technique aseptic or sterile?
Aseptic
When should you empty an ostomy bag?
a. 1/3 full
b. 1/2 full
c. Full
d. Every 2 hours
A. 1/3 full
What medication can contribute to increased risk of C. Difficile and what is the most effective prevention?
Antibiotics and Hand Hygiene
What medication type caused C. Diff?
What is antibiotics
What is the purpose for an oil-retention enema?
An oil-retention enema lubricates the stool and inestinal mucosa, making defecation easier
When the patient is preparing to … “donate their sample”… what should the nurse ABSOLUTELY teach beforehand in order to prevent sample contamination
Don’t pee in your poo.
What are the types of ostomies?
Sigmoid colostomy
Descending colostomy
Transverse colostomy
Ascending colostomy
Ileostomy
What medication class can cause diarrhea?
Antibiotics because it disrupts the body's gut flora
What drugs can cause potential gastrointestinal bleeding?
What is aspirin and anticoagulants.
What is an effect from using soap as an enema solution?
It will cause significant rectal mucosa irritation or damage
What should the nurse teach to a patient when they are taking iron supplementation (in regards to their stool)?
Their stool will appear black in color.
True or False
Patients who receive consultation pre-op and post-op care from an enterostomal therapy nurse or a WOCN experience better long-term outcomes
True
True or False
For severe C.Diff infection, you will see watery diarrhea 3 or more times a day for two or more days
False
You will see 10-15x a day
What influences the characteristics of stool in infants?
What is a breastfed vs. formula fed infant.
What is often ordered after an oil-retention enema?
A cleansing enema
Does a patient have the option to mail their poo to the Dr. office?
True (yes) and bonus!
How long is the sample good for? Should you use priority mail or nah?
Describe the characteristics of the output you will see from an ileostomy
For an ileostomy the output is a liquid porridge consistency
What are treatment is used for impaction?
Cleansing Edemas