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What are the essential questions the nurse should ask re:the patient's bowel elimination?
- When was your last BM?
- How often do you normally have a bowel movement?
- Has this illness affected your bowels?
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What do you need to assess in a pt before using a contrast medium for any sort of procedure?
- Allergies
- medication
- disease processes involving liver or kidney
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What is acholic stool, and what is it an indication of?
- grey, white, or clay-like stool.
- liver or gall bladder disease
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What is steatorrhic stool, and what is it an indication of?
- pale (with fat and mucous)
- malabsorption of fat
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what is black or tarry stool an indication of?
- blood high in GI tract
- Iron ingestion problem
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what is green or orange stool an indication of?
- infection in intestines
- green could be from food
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what is ribbon shaped stool an indication of?
obstruction
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what care needs to be taken for a C diff stool sample?
it needs to be put on ice, and taken to the lab stat
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How much stool is necessary for a liquid stool sample?
15-30mL
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what is an O&P stool sample, and how quickly does it need to be gotten to the lab?
- ovum and parasties
- immediately
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What precautions need to be done before a OB stool sample is obtained?
- no red meat, vitamin C, some fruits and veg for 3 days before text
- stop aspirin & NSAIDs 7 days before test
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how much fiber do you need per day for healthy elimination patterns?
about 25g/day
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how long before you should contact a physician about constipation?
3 days without a BM (or individualized, depending on person's habits)
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what is the purpose of a Harris flush?
to relieve gas pains
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what should you avoid taking alongside dulcolax/bisacodyl?
alkali (milk, antacids)
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