Podcast
Questions and Answers
An elderly patient is experiencing bowel incontinence. Which environmental factor would most likely contribute to the patient's incontinence?
An elderly patient is experiencing bowel incontinence. Which environmental factor would most likely contribute to the patient's incontinence?
- Decreased muscle tone due to impaired mobility.
- An inaccessible bathroom. (correct)
- Dysfunctional rectal sphincter.
- A diet lacking sufficient fiber and raw fruits.
A patient with bowel incontinence is also expressing feelings of shame and isolation. Which nursing problem is most appropriate to address these concerns?
A patient with bowel incontinence is also expressing feelings of shame and isolation. Which nursing problem is most appropriate to address these concerns?
- Disturbed body image. (correct)
- Deficient knowledge.
- Risk for impaired skin integrity.
- Anxiety.
Which of the following findings would be classified as an objective assessment cue for bowel incontinence?
Which of the following findings would be classified as an objective assessment cue for bowel incontinence?
- Inability to delay defecation.
- Does not recognize the urge to defecate.
- Constant passage of soft stool. (correct)
- Inability to recognize rectal fullness.
Which intervention is most important for a nurse to implement to maintain skin integrity for a patient with bowel incontinence?
Which intervention is most important for a nurse to implement to maintain skin integrity for a patient with bowel incontinence?
A patient reports being unable to make it to the bathroom in time once they feel the urge to defecate. Which of the following assessment findings is the patient experiencing?
A patient reports being unable to make it to the bathroom in time once they feel the urge to defecate. Which of the following assessment findings is the patient experiencing?
What should the nurse prioritize when caring for a patient with bowel incontinence?
What should the nurse prioritize when caring for a patient with bowel incontinence?
A patient with bowel incontinence has a goal to "reduce the frequency of incontinent episodes." Which dietary instruction supports this goal?
A patient with bowel incontinence has a goal to "reduce the frequency of incontinent episodes." Which dietary instruction supports this goal?
Which of the following patient outcomes indicates effective management of bowel incontinence?
Which of the following patient outcomes indicates effective management of bowel incontinence?
A patient with impaired mobility is at increased risk for bowel incontinence due to what?
A patient with impaired mobility is at increased risk for bowel incontinence due to what?
Which of the following findings suggests that the skin care regimen for a patient with bowel incontinence is effective?
Which of the following findings suggests that the skin care regimen for a patient with bowel incontinence is effective?
Flashcards
Bowel Incontinence
Bowel Incontinence
Involuntary passage of stool.
Risk Factors for Bowel Incontinence
Risk Factors for Bowel Incontinence
Older adults, impaired mobility, cognitive impairment, and structural/functional bowel impairment.
Assessment Findings: Bowel Incontinence
Assessment Findings: Bowel Incontinence
Does not recognize urge to defecate, cannot delay defecation, or recognize fullness.
Objective Signs of Bowel Incontinence
Objective Signs of Bowel Incontinence
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Nursing Interventions for Bowel Incontinence
Nursing Interventions for Bowel Incontinence
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Desired Patient Outcomes: Bowel Incontinence
Desired Patient Outcomes: Bowel Incontinence
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Dietary Therapy for Bowel Incontinence
Dietary Therapy for Bowel Incontinence
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Additional Nursing Problems/Concerns
Additional Nursing Problems/Concerns
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Ultimate Long-Term Goal
Ultimate Long-Term Goal
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Study Notes
Assessment Findings/Relevant Cues/Noticing
- Does not recognize the urge to defecate
- Inability to delay defecation
- Inability to expel formed stool despite recognition of rectal fullness
- Inability to recognize rectal fullness
Objective Assessment Findings/Relevant Cues
- Constant passage of soft stool
- Fecal odor
- Fecal staining on bedding and clothing
Risk Factors/Etiology
- Age: older adults
- Impaired mobility (Decreased Muscle Tone)
- Cognitive impairment
- Structural or functional impairment of bowel function: Dysfunctional rectal sphincter, Impaired reservoir capacity
- Environmental factors (Inaccessible Bathroom)
- Deficient dietary habits
Primary Concept/Exemplar
- Elimination
Primary Nursing Problem/Concern
- Bowel Incontinence: Involuntary passage of stool
Other Additional Appropriate Nursing Problems/Concerns
- Risk for Impaired Skin Integrity
- Disturbed Body Image
- Anxiety
- Deficient Knowledge
Priority Nursing Interventions/Action/Responding
- Recognize risk factors for incontinence
- Closely inspect the perineal skin and skin folds for evidence of skin breakdown
- Document pattern of stool elimination/record
- Identify conditions (triggers) contributing to or causing fecal incontinence
- Institute a structured skin care regimen that incorporates 3 steps: cleanse, moisturize, and protect
Patient Outcomes
- Exhibit intact skin in the perianal/perineal area
- Identify triggers that precipitate bowel incontinence
- Have regular evacuation of fecal content including soft formed stool
Ultimate Long-Term Goal
- Reduce or eliminate frequency of incontinent episodes
Additional Information (Therapy)
- Diet: High fiber diet- raw fruits, bran products, whole grain cereal, whole wheat
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