FPCC Exam 2 Bowel Elimination Questions and Answers Already Passed

FPCC Exam 2 Bowel Elimination Questions and Answers Already Passed What should we assess in a patient who presents with a bowel disturbance? Normal bowel pattern for the patient (how many per week, what it typically looks like), last bowel movementpersonal habits, diet, activity level, medications, health history, and continence and incontinence What are we most concerned with when considering a patient's bowel movements? Recent changes What do we not in the physical assessment in a patient who has a bowel disturbance? -Contour of abdomen -Abdomen should be soft and nontender -Normal bowel sounds x4 quadrants What should we note about a patient's stool? Color, amount, consistency What does an occult blood test assess for? Hidden blood in the stool What does a stool C&S test for? Microorganisms. Culture and sensitivity What is normal frequency of bowel movements? 2-3/week but everyone is different What does hypermobile bowel movements indicate? >3/day What does hypomobile bowel movements indicate? <1/week What is the normal color of stool? Brown due to bile What does white stool indicate? Absence of bile, antacid use, barium from barium swallow/enema What does light brown stool indicate? High milk, low meat diet What does pale and fatty stool indicate? Malabsorption of fat What does black stool indicate? Iron medication, upper GI bleeding, red meat, spinach, and dark green veggies What does red stool indicate? lower GI bleeding or hemorrhoids What is the normal quantity of stool? 150g/day but can be more or less depending on amount eaten What is the normal stool shape? 1 inch in diameter What is the normal consistency of stool? Formed, soft, and moist What does hard stool indicate Dehydration / decreased motility What does watery stool indicate? Increased peristalsis / motility What could excessively pungent stool indicate? Infection or bleeding How would you prep a patient for a colonoscopy? 7 days prior: start taking aspirin / NSAID's 3 days prior: no nuts, seeds, or popcorn 1 day prior: clear liquids and laxatives How would you prep a patient for a sigmoidoscopy? Enema morning of and may prescribe a laxative May be allowed to have a light breakfast How would you prep a patient for an EGD? NPO after midnight and let patient know they will be sedated How would you care for a patient who is recovering from an EGD? -NPO until gag reflex returns -Let patient know that a sore through, bloating, belching, and flatulence is normal What should you monitor for in all direct visualization procedures? Bowel perforation How should you prep a patient for a barium swallow / enema? NPO and bowel cleansing to completely clear bowels How would you care for a patient who has had a barium swallow / enema? Push fluids since barium is constipating, teach that it is normal for stool to look white and chalky How should you prep a patient for a CT? May be NPO What should you monitor for in a patient who is recovering from a CT scan using a contrast medium? Monitor renal functions and allergies when using dye How should you prep a patient for a MRI? May be NPO 4-6 hours before procedure, void before