Podcast
Questions and Answers
Which stool test is used to detect hidden blood in the feces?
Which stool test is used to detect hidden blood in the feces?
- Stool culture
- Clostridium difficile toxin test
- Ova and parasite test
- Fecal occult blood test (FOBT) (correct)
A nurse is collecting a stool specimen for ova and parasite testing. What is the most important instruction to give the patient?
A nurse is collecting a stool specimen for ova and parasite testing. What is the most important instruction to give the patient?
- Avoid red meat before the test
- Deliver the sample to the lab immediately (correct)
- Refrigerate the sample overnight
- Use a sterile container
What is the primary purpose of a cleansing enema?
What is the primary purpose of a cleansing enema?
- Stimulate peristalsis and remove feces (correct)
- Relieve abdominal pain
- Treat dehydration
- Reduce intestinal gas
When performing an abdominal assessment, which step should be conducted first?
When performing an abdominal assessment, which step should be conducted first?
Which dietary recommendation is best for preventing constipation?
Which dietary recommendation is best for preventing constipation?
A patient with diarrhea is at risk for which complication?
A patient with diarrhea is at risk for which complication?
Which type of enema is used to relieve gas?
Which type of enema is used to relieve gas?
Which of the following is a normal finding in a patient with a sigmoid colostomy?
Which of the following is a normal finding in a patient with a sigmoid colostomy?
What is the priority nursing action for a patient experiencing fecal impaction?
What is the priority nursing action for a patient experiencing fecal impaction?
A patient with an ileostomy should be taught to:
A patient with an ileostomy should be taught to:
A patient with chronic constipation asks about dietary changes. Which food should the nurse recommend?
A patient with chronic constipation asks about dietary changes. Which food should the nurse recommend?
Which therapeutic communication technique is best when discussing bowel elimination with a patient?
Which therapeutic communication technique is best when discussing bowel elimination with a patient?
A patient complains of constipation. Which intervention should the nurse implement first?
A patient complains of constipation. Which intervention should the nurse implement first?
A patient with diarrhea is advised to eat which type of diet?
A patient with diarrhea is advised to eat which type of diet?
A patient is learning how to care for a new colostomy. Which statement indicates the need for further teaching?
A patient is learning how to care for a new colostomy. Which statement indicates the need for further teaching?
Flashcards
Fecal occult blood test (FOBT)
Fecal occult blood test (FOBT)
Detects microscopic blood in stool, indicating gastrointestinal bleeding.
Stool specimen for ova and parasite testing
Stool specimen for ova and parasite testing
Ova and parasites degrade quickly, so prompt delivery ensures accurate results.
Cleansing enema
Cleansing enema
Promotes bowel movements by stimulating intestinal muscle contractions.
Abdominal assessment: first step
Abdominal assessment: first step
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Preventing Constipation
Preventing Constipation
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Risk with diarrhea
Risk with diarrhea
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Enema for gas relief
Enema for gas relief
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Normal finding in sigmoid colostomy
Normal finding in sigmoid colostomy
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Fecal impaction - priority action
Fecal impaction - priority action
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Ileostomy patient teaching
Ileostomy patient teaching
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Study Notes
- The following notes cover key concepts related to bowel elimination.
Diagnostic Tests
- A fecal occult blood test (FOBT) detects microscopic blood in the stool, potentially indicating gastrointestinal bleeding.
- When collecting a stool specimen for ova and parasite testing, ensure prompt delivery to the lab to prevent degradation of the sample.
Enemas
- Cleansing enemas primarily stimulate peristalsis to promote bowel movements and remove feces.
- Carminative enemas relieve gas by promoting gas expulsion.
Abdominal Assessment
- When performing an abdominal assessment, always begin with inspection to observe abnormalities before other steps alter findings.
Diet and Bowel Health
- A high-fiber diet with adequate fluid intake is recommended for preventing constipation, as fiber and fluids soften stool and encourage peristalsis.
- Patients with diarrhea are at risk for fluid and electrolyte imbalances due to excessive fluid loss.
- For patients with diarrhea, the BRAT diet (bananas, rice, applesauce, toast) helps firm stool and reduce diarrhea due to low fiber content and easy digestibility.
- When a patient reports chronic constipation, whole wheat bread is a recommended dietary change.
Colostomy and Ileostomy
- A normal finding in a patient with a sigmoid colostomy is formed stool output.
- Patients with an ileostomy should drink plenty of fluids to prevent dehydration because the output is liquid.
- When a patient is learning to care for a new colostomy, the statement "I should change the ostomy pouch every day" indicates a need for further teaching. Ostomy pouches typically last for several days.
Therapeutic Communication
- When discussing bowel elimination with a patient, use open communication and encourage the patients to discuss their bowel habits.
Fecal Impaction
- The priority nursing action for a patient experiencing fecal impaction is to perform digital removal of stool if necessary, especially if other interventions have failed.
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