Constipation
The patient will have abdominal, cramping, bloating, inability to pass stool, nausea vomiting & LEAKAGE of LIQUID STOOL.
What is a FECAL impaction?
The nurse knows that the limit on amount of tap water enemas is.
What is 3?
The nurse knows to do this to a stoma to allow the gas to escape...
What is burping the gas from the ostomy bag?
The nurse knows to perform these nursing interventions to treat patients with diarrhea...
What is monitoring and the frequency and characteristics of the stool using a graduated cylinder?
What are some other nursing interventions??
The nurse know that the term feces refers to...
What is stool / bowel movement?
Frequent use of this medication can lead to constipation because the body will become dependent on the medication to defecate.
What are laxatives?
*Common among older adults.*
The nurse should monitor a patient for this response during enema administration dizziness, diaphoresis, clammy skin.
What is vagal stimulation?
*Heart rate and blood pressure should be assessed immediately.*
STOP administration immediately!!!
The nurse knows to cut the opening of the appliance 1/8 inch longer than the stoma because...
What is protecting the skin without cutting off the circulation to the stoma?
The nurse knows these medications are used to treat diarrhea.
What is Kaopectate, Imodium, pepto-bismol?
This test uses a light scope to visualize the entire colon and lower small bowel.
What is colonoscopy?
This type of medication has a side-effect of constipation.
What is Opiates AKA opioids (pain medication)?
The nurse knows to place a patient in what position during enema administration.
What is LEFT sims?
The nurse knows it is time to empty the ostomy bag when..
What is ostomy bag is half full?
The nurse knows to teach the patient this information to decrease the risk of diarrhea.
What is refrigerate foods within 1-2 hours below 40 degrees, wash hands and surfaces, never cut meat on a wooden surface, wash fruits and vegetables, use pasteurized juices?
These types of beverages will produce flatulence or gas.
What is beer or soda?
*Remember this is due to the carbonation of these beverages.*
What are some other gas producers? gum, using a straw, high fiber food, etc.
The nurse should instruct the patient NOT to do this to prevent constipation.
What is IGNORE the URGE to defecate or have a bowel movement?
The nurse knows that this type of enema irritates the bowel mucosa.
What is soap suds enema?
The nurse knows that a healthy stoma should resemble.
What is moist and shiny, beefy red?
The nurse knows that these are all potential causes of diarrhea.
What is bacterial and viral gastroenteritis, antibiotic therapy and C-diff?
Any other causes?
The nurse knows that kegel exercises help patients with...
Strengthen the muscles within the pelvic floor.
*Helps with bowel incontinence when these muscles are stronger.*
The nurse should instruct the patient to ingest enough of these items to have regular bowel movements.
What is 2-3L of fluid daily?
What is 20-30 grams of fiber daily?
The nurse should provide this nursing intervention if the patient experiences abdominal cramping during enema administration.
What is lower the enema bag?
*Lowering the bag will stop the flow of the liquid from the enema.*
The nurse know that ileostomy stool is...
What is liquid stool?
The nurse know that what population is of greatest concern is.
Who are the elderly / older adult patients and young children?
Ingesting of these types of foods can produce a false positive in a fecal occult blood test/ guaiac test.
What are red meats, citrus fruits and raw vegetables.