Quiz 49: Fecal Elimination

Nursing

Mrs. Emma Brown is an old lady who lives alone in a low income housing complex for adults. Her eating patterns are irregular and generally consist of only toast and soup meals. She also suffers from insomnia and performs little exercise. She is suffering from constipation. She has reported liquid stools of small amounts and at infrequent intervals. The additional information about the client that should be obtained is her previous medications, the diet that she has been following and the timing and patterns of her bed rest. These are the causative factors of constipation and assessment of these factors is the primary step in planning for improved bowel elimination. Evaluation of client's medication profile is necessary to check if the occurrence of constipation is due to irregular eating patterns or as a side effect of drugs such as antacids and narcotics.

Diarrhea is characterized by an increased frequency of defecation and passage of liquid feces. This condition is opposite of constipation as in this case the fecal contents are rapidly moved out of the large intestine. Incontinence occurs when the client is unable to voluntarily control the fecal and gaseous discharge. It is generally related to impaired anal sphincter functioning. Hemorrhoids occur when severe drying of the stool occurs. They involve swelling of the blood vessels of the rectum. Hence, the options 2, 3 and 4 are incorrect. Avoiding the urge to defecate for a long time can lead to constipation due to accumulation of feces and loss of natural urges. In this condition the stool may appear dry and hard or there may be absence of stool. It occurs due to slow movement of feces out of the intestine which allows additional reabsorption of fluid from the large intestine. Hence, the correct answer is option img .

Mrs. Emma Brown is an old lady who lives alone in a low-income housing complex for adults. Her eating patterns are irregular and generally consist of only toast and soup meals. She also suffers from insomnia and performs the little exercise. She is suffering from constipation. She has reported liquid stools of small amounts and at infrequent intervals. The nursing interventions that are most appropriate prior to any suggestions for correction and prevention of client's problems are as follows: 1. Evaluating the diet that she has been following and the timing and patterns of her bed rest. These are the causative factors of constipation and assessment of these factors is the primary step in planning for improved bowel elimination. 2. Evaluation her medication profile is necessary to check if the occurrence of constipation is due to irregular eating patterns or as a side effect of drugs such as antacids or narcotics. 3. The client should be encouraged to increase her fluid intake unless it is contraindicated. This will promote proper stool consistency by increased absorption of sufficient amounts of liquid. 4. The client should be instructed to take a high fiber diet as fibers are good absorbents of water along with a sufficient amount of fluids. Hence, this will increase the softness of the stool and also will speed up the passage of the bowel through the intestines.

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