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Lesson 26. Elimination


a. The bowel should be evacuated regularly to prevent impaction of stool.

(1) Keep accurate record of bowel movements. Note time, amount, color, and consistency.
(2) A liquid stool softener may be ordered by the physician to prevent constipation or impaction. It is generally administered once per day.
(3) Assess for fecal impaction. The patient may be incontinent of stool, yet never completely evacuate the rectum. Small, frequent, loose stools may be the first signs of an impaction as the irritated bowel forces liquid stools around the retained feces.
(4) If enemas are ordered, use proper technique to ensure effective administration and effective return of feces and solution.

b. The bladder should be emptied regularly to prevent infection or stone formation.

(1) Adequate fluids should be given to prevent dehydration.
(2) Keep accurate intake and output records.
(3) Report low urine output to professional nurse.
(4) Provide catheter care at least once per shift to prevent infection in catheterized patients.

David L. Heiserman, Editor

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Revised: June 06, 2015