Foundation Of Nursing Ch 19

Front 1

List common alternatives to bowel elimination? (5)

Back 1

constipation, fecal impaction, distention, diarhhea, incontinence

Front 2

Constipation

Back 2

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

Front 3

fecal impaction

Back 3

a large or hard stool that cannot pass voluntarily. needs enem to soften stool and facilitate defacation

Front 4

distention

Back 4

(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.

Front 5

diarrhea

Back 5

Diarrhea
•urgent passage of watery stool
•accompanied by cramping

Front 6

incontinence

Back 6

educating the patient about dietary measures, abdominal exercises, and physical activity

Front 7

fecal incontinence

Back 7

Fecal Incontinence
•inability to control stool elimination

Front 8

What is an enema?

Back 8

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.

Front 9

What is the purpose of an enema?

Back 9

-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.

Front 10

SSE? TWE?

Back 10

SSE- soap suds enema
TWE- tap water enema

Front 11

HYpertonic solution

Back 11

a solution of higher osmotic pressure. Solutions pull fluid from the cells.

Front 12

oil retention enema?

Back 12

lubricates the rectum and colon, softens the feces, and facilitates defecation.

Front 13

Harris Flush

Back 13

a return-flow enema, used to expel flatus; alternating flow of fluid into and out of the large intestine stimulates peristalsis

Front 14

List Nursing interventions for diagnostic exam preparation?

Back 14

requisitions, client prep, explain the procedure, assist the physician

Front 15

requisition

Back 15

face sheet of specified diagnostic examination

Front 16

Prepare patient for diagnostic examination by..?

Back 16

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.

Front 17

Explanation of procedure

Back 17

Explain to the patient the procedure of his or herdiagnostic examination.

Front 18

Role of LVN in specimen collection; client teaching and colection of specimen

Back 18

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.

Front 19

Role of LVN in specimen collection equipment

Back 19

sterile cotton ball swabs, antiseptic, sterile specimen container with label, disposable gloves, requisition slip

Front 20

Role of LVN in specimen collection; laeling

Back 20

Remember to label appropriately with patient's id, and complete laboratory requisition form