Glossary of Foundation of nursing ch 19
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- List common alternatives to bowel elimination? (5)
- constipation, fecal impaction, distention, diarhhea, incontinence
- 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
- fecal impaction
- a large or hard stool that cannot pass voluntarily. needs enem to soften stool and facilitate defacation
- (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.
•urgent passage of watery stool
•accompanied by cramping
- educating the patient about dietary measures, abdominal exercises, and physical activity
- fecal incontinence
- Fecal Incontinence
•inability to control stool elimination
- What is an enema?
- 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.
- What is the purpose of an enema?
- -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.
- SSE? TWE?
- SSE- soap suds enema
TWE- tap water enema
- HYpertonic solution
- a solution of higher osmotic pressure. Solutions pull fluid from the cells.
- oil retention enema?
- lubricates the rectum and colon, softens the feces, and facilitates defecation.
- Harris Flush
- a return-flow enema, used to expel flatus; alternating flow of fluid into and out of the large intestine stimulates peristalsis
- List Nursing interventions for diagnostic exam preparation?
- requisitions, client prep, explain the procedure, assist the physician
- face sheet of specified diagnostic examination
- Prepare patient for diagnostic examination by..?
- 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.
- Explanation of procedure
- Explain to the patient the procedure of his or herdiagnostic examination.
- Role of LVN in specimen collection; client teaching and colection of specimen
- 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.
- Role of LVN in specimen collection equipment
- sterile cotton ball swabs, antiseptic, sterile specimen container with label, disposable gloves, requisition slip
- Role of LVN in specimen collection; laeling
- Remember to label appropriately with patient's id, and complete laboratory requisition form
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