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FPCC – Bowel Elimination – 2026 – Study Guide and Nursing Review Notes

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This document covers bowel elimination concepts for FPCC coursework, including the physiology of digestion, normal and abnormal bowel patterns, and factors affecting bowel function. It also reviews nursing care considerations, patient assessment, and interventions related to maintaining healthy bowel elimination.

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FPCC – Bowel Elimination – 2026 – Study Guide and
Nursing Review Notes

Defecation - ANS✔✔ elimination of feces



Feces - ANS✔✔ solid wastes; stool



Valsalva maneuver - ANS✔✔ contracting the abdominal muscles while maintaining a closed
airway



Peristalsis - ANS✔✔ Involuntary constricts and relaxation of the muscles that push the contents
of the canal forward



type 1 stool - ANS✔✔ separate hard lumps like nuts (difficult to pass)



type 2 stool - ANS✔✔ sausage shaped but lumpy



type 3 stool - ANS✔✔ Like a sausage but with cracks on surface



type 4 stool - ANS✔✔ like a sausage or snake, smooth and soft



type 5 stool - ANS✔✔ Soft blobs with clear-cut edges (passed easily)



type 6 stool - ANS✔✔ fluffy pieces with ragged edges, a mushy stool



type 7 stool - ANS✔✔ watery, no solid pieces (entirely liquid)

, hyper parastolisis - ANS✔✔ hyper active bowel sounds, diarrhea



Hypoparastolisis - ANS✔✔ constipation



_____ gurgles per min in normal bowel sounds - ANS✔✔ 5-15



indirect visualization - ANS✔✔ gallstones, fecal impaction, and distended bowel

-flat plate of the abdomen

-Barium enema

-Ultrasound

-Computed Tomography (CT) scan



Direct Visualization - ANS✔✔ -Esophagogastroduodenoscopy (EGD) - using a cam / scope to
look at the upper GI

-Colonoscopy- look at colon or large intestine

-Sigmoidoscopy- look at sigmoid



Laboratory studies - ANS✔✔ checks stool for occult blood/guaiac test



Bowel Incontinence - ANS✔✔ involuntary passage of stool



Chronic Constipation - ANS✔✔ 3 months or longer , can result in fecal impaction- dry/hard stool
in the rectum that can't be passed



Bowel diversions - ANS✔✔ Surgically created opening for elimination for digestive waste
products

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