Page | 1
Bowel Elimination STUDY Guide 4
-Understand normal bowel elimination and factors that promote, impede, or
cause alterations in the elimination
-State and understand the parts of the Gastrointestinal tract and their
function: Mouth, Esophagus, Stomach, Small Intestine, Large intestine,
Anus
-Understand Factors Affecting Bowel Elimination: Age, diet, fluids, physical
activity, stress, personal elimination habits, hemorrhoids, surgery,
anesthetic agents, immobility
-Diagnostic tests for GI system- Pre and Post Nursing Care/Considerations
Endoscopy, Colonoscopy, Upper GI series: Barium Swallow, fecal
occult blood test (FOBT),
-State and understand Common Bowel Elimination Problems
-Bowel Training - Benefits who can benefit? –
-Nursing Assessment for bowel elimination patterns and abnormalities –
-Components of an abdominal assessment: inspection, etc.
Page | 2
-Types of Ostomies and Nursing Care: Sigmoid colostomy, transverse
colostomy, ileostomy
-Enema Administration Nursing considerations; what is the maximum –
volume of fluid to be administered for an adult?
Urinary Elimination -
-Understand the function and parts of the urinary system: Kidneys, ureters,
bladder, and urethra … state anatomical differences in men and women r/t
urethra and the implications
-what is the function of Nephrons?
-Act of Urination: Bladder emptying - understand Micturition
-Bedpan Positioning for patients
-Factors influencing Urinary Elimination Review Box 46-1 pg. 1102. – –
Growth & development; Sociocultural factors; psychological factors;
personal habits; fluid intake; pathological conditions, surgical procedures,
medications, diagnostic examinations
-Common Urinary Elimination Problems: Urinary Retention
Urinary tract infection (UTI)
Urinary incontinence Types of urinary incontinence: Define Urgency and –
Stress Incontinence. What are the causes and treatments for each?
Page | 3
-Know the following terms: Anuria
Oliguria Hematuria Polyuria Nocturia Dysuria Enuresis
Diagnostic Tests for Urinary System: Pre Post Nursing Care/Implications —
-Ultrasound of Kidneys, ureters, & bladder
-Intravenous Pyelogram (IVP)
-Computerized tomography (CT) scan
-MRI
-Labs: Urine Culture & sensitivity; urinalysis collection process –
- Bladder Scan Post void Residual (PVR) –
Foley Catheter Nursing Care and considerations/Implications/Risks –
-Indwelling -
-Intermittent Catheterization (Straight Catheterization) Urinary Diversion –
(Ileal Conduit) Nursing Care & Considerations
Page | 4
Cultural Awareness:
Health Disparity – Be able to define and understand the significance of
health disparity
-- A particular type of health difference that is closely linked with social
economic, and/or environmental disadvantage
-- Social determinants of health
- the conditions in which people are born, grow, live, work, and age, shaped
by the distribution of money, power, and resources at global, national, and
local levels
-Core Measures Define; what is the purpose. –
-Culturally Competent Care -
Understanding the significance of a self-assessment to recognize our own
biases
Teach Back What is teach back? How do we implement it? –
