16.9 Applying the Nursing Process

Now that we have discussed several alterations in elimination, let’s apply the nursing process to clients experiencing these conditions.

Assessment

Urinary Elimination Assessment

Assessment of the urinary system includes asking questions about voiding habits, frequency, and if there is difficult or painful urination. The bladder may be palpated above the symphysis pubis for distention. If the client has incontinence, the perineal area should be inspected for skin breakdown. If urinary retention is suspected, a post-void residual amount may be measured by using a bladder scanner or by straight urinary catheterization. For a summary of common signs and symptoms associated with alterations in urinary elimination, see the “Selected Defining Characteristics” listed in Table 16.9a under the “Diagnosis” subsection.

Bowel Elimination Assessment

Subjective assessment of the bowel system includes asking about the client’s normal bowel pattern, the date of the last bowel movement, characteristics of the stool, and if any changes have occurred recently in stool characteristics or pattern. A normal pattern is typically one bowel movement every one to three days with stools having a soft or formed consistency. Refer to Figure 16.6^[1] under the “Constipation” section regarding using the Bristol Stool Chart to evaluate stool consistency.

Based on the client’s answers, additional questions can be included, such as bowel routines/toileting, the amount of fiber and fluid in the daily diet, daily activity, and the use of opioid medications. Keep in mind that clients who have recently undergone diagnostic procedures that include barium contrast can have significant hardening of the stool if the barium is not expelled within a day or two of the procedure. Clients are typically prescribed a stimulant laxative (such as Milk of Magnesia) to promote barium expulsion after these types of procedures. Additionally, clients who have recently had abdominal surgical procedures under general anesthesia are at increased risk of paralytic ileus.

For a summary of common symptoms associated with alterations in urinary elimination, see the “Selected Defining Characteristics” listed in Table 16.9a under the “Diagnosis” subsection.

The abdomen should be inspected for distension, bulging, bruising, or pulsatile masses and then auscultated for bowel sounds, noting if they are present, hyperactive, or hypoactive in all four quadrants. If bowel sounds are absent or there are other signs of possible obstruction or paralytic ileus, the provider should be notified immediately. A light palpitation of the abdomen is performed to determine if there are tender areas, abnormal masses, or a firmness in the left lower quadrant, indicating the presence of stool. If pulsatile masses, distension, rigidity, or other indication of suspected abdominal problems is noted on inspection, the abdomen should not be deeply palpated due to the risk of injury or complications with palpation.^[2] 

During inpatient care, the client is often requested to call the nurse when a bowel movement has occurred so the stool characteristics can be assessed. Document the amount (small, medium, or large), consistency (soft, formed, or hard) and color (brown or other color). Alterations in these characteristics can be caused by several conditions, such as infection, parasites, inflammatory conditions of the intestines or gallbladder, or liver conditions.

Some clients have surgical diversions for diseases such as diverticulitis or cancer. Ostomies are surgical openings in the abdomen for the expulsion of stool into a bag-like appliance. An ileostomy is an opening created at the juncture of the small and large intestines, so the stool has a liquid consistency. A colostomy is placed farther along the large intestines, where more water has been absorbed, so the stool is more formed.

Urinary Diagnostic Tests

There are several commonly ordered diagnostic tests for urinary conditions, such as a urine dip, urinalysis, urine culture, cystoscopy, and urodynamic flow studies.

Urine Dip

A urine dip test refers to a treated chemical strip (dipstick) being placed in a urine sample. Patches on the dipstick will change color to indicate the presence of substances such as white blood cells, protein, or glucose. See Figure 16.7^[3] for an image of a urine dipstick test. Urine is collected for a urine dip test in a clean container. Using the “clean catch” technique, the skin surrounding the urethra should be cleaned with a special towelette before the urine is collected. Catching the urine “midstream” is the goal, so request the client to start urinating, stop, and then urinate into the container.

Urinalysis

A urinalysis includes a physical, chemical, and microscopic examination of urine by a lab technician. It requires collection of a “clean catch” urine sample in a sterile container that is analyzed by a lab technician under a microscope.^[4] See Table 16.9a for a selected urinalysis findings and their clinical significance.

Table 16.9a Selected Urinalysis Findings and Their Clinical Significance^[5]

See Figure 16.8^[6] for an image of white blood cells, referred to as pyuria, as seen on a urinalysis under a microscope. A urinalysis looks for evidence of infection, including elevated numbers of bacteria and white blood cells. A positive leukocyte esterase test or the presence of nitrite also supports the diagnosis of a UTI.^[7]

Urine Culture

A urine culture identifies the specific microbe causing a urinary tract infection. If this is the client’s first, uncomplicated UTI of the lower urinary tract, the provider often assumes it is caused by the most common microbe, E. coli, and treats it with antibiotics without performing a culture. However, cultures are typically performed for clients with recurring UTIs or hospitalized clients at risk for hospital-associated infections.^[8]

When interpreting urine culture results, the presence of a single type of bacteria growing at high colony counts is typically considered a positive urine culture. For clean catch samples that have been properly collected, cultures with greater than 100,000 colony forming units (CFU)/milliliter of one type of bacteria usually indicate infection.^[9]

If a culture is positive, susceptibility testing is performed to guide treatment. Although a variety of bacteria can cause UTIs, most are due to Escherichia coli (E. coli) bacteria that are common in the digestive tract and routinely found in stool. Other bacteria that commonly cause UTIs include Proteus, Klebsiella, Enterobacter, Staphylococcus, and Acinetobacter. Susceptibility testing determines which antibiotics will inhibit the growth of the specific bacteria causing the infection. It is important for nurses to review culture results to verify the antibiotic therapy being administered has been found to be effective against the type of bacteria discovered in the culture. If there is any concern about the susceptibility results and current antibiotic therapy, the health care provider should be notified.

A culture that is reported as “no growth in 24 or 48 hours” usually indicates that there is no infection. If a culture shows growth of several different types of bacteria, then it is likely due to contamination of the urine sample during collection. This is especially true in voided urine samples if the organisms present include Lactobacillus and/or other common nonpathogenic vaginal bacteria in women. The provider may request a repeat culture on a sample that is more carefully collected.^[10]

Cystoscopy

A cystoscopy is a procedure completed by a health care provider with a cystoscope, a small, thin tube with a camera on the end that is inserted into the urethra and into the bladder. See Figure 16.9^[11] for an illustration of cystoscopy. Fluid is inserted to expand the bladder so the bladder walls can be visualized. Biopsy samples can be taken from abnormal tissue through the tube and then sent to a medical lab for analysis. The client will feel the need to urinate when the bladder is full, but the bladder must stay full until the procedure is completed. A slight pinch may be felt if a biopsy sample is obtained. After the procedure, the client should be encouraged to drink four to six glasses of water per day, as appropriate for their medical status. A small amount of blood may be present in the urine after the procedure, but if the bleeding continues after urinating three times, or if other signs of infection are present, the provider should be notified.^[12]

Urodynamic Flow Test

Urodynamic testing is any procedure that looks at how well the bladder, sphincters, and urethra are storing and releasing urine. Most urodynamic tests focus on the bladder’s ability to hold urine and empty steadily and completely. Urodynamic tests can also show whether the bladder is having involuntary contractions that cause urine leakage.^[13]

Bowel Diagnostic Tests

There are several common diagnostic tests related to bowel elimination, including stool-based tests, a colonoscopy, a barium enema, and an abdominal CT scan.

Stool-Based Tests

Stool samples can be tested for bacteria, viruses, parasites, cancer, or for occult blood (i.e., hidden blood). Follow specific instructions from the lab for collecting the sample.

The Guaiac-Based Fecal Occult Blood Test finds hidden blood in the stool. As a screening test for colon cancer, it is performed annually. Before the test, the client should avoid many foods, such as red meat, melons, beets, and grapefruit for three days. They should not take aspirin or NSAIDs for seven days prior to the test. Stool samples from three separate bowel movements are smeared onto small paper cards and then returned to the medical lab for testing. If the test is positive (i.e., hidden blood is found), a follow-up colonoscopy is scheduled.^[14] See Figure 16.10^[15] for an image of a typical card used to collect the stool smear for the test after a special solution has been applied. The blue color indicates a positive result for occult blood.

The Stool DNA Test (also called Cologuard) looks for certain abnormal sections of DNA from cancer or polyp cells and also checks for occult blood. Specific collection kits, including a sample container, liquid preservative, and specific instructions are provided.^[16]

Colonoscopy

During a colonoscopy, an instrument called a colonoscope is used. The colonoscope has a tiny camera attached to a long, thin tube that is inserted into the anus to check the entire colon and rectum. See Figure 16.11^[17] for an illustration of a colonoscopy. This procedure is used to screen clients for colon cancer. Screening is recommended to start at age 50 (or 45 for high-risk populations, including African Americans), and thereafter once every ten years or as prescribed by the provider. It is also used to evaluate the colon for inflamed tissue and abnormal growths or lesions. Before the procedure, the client must complete a bowel prep that typically consists of a clear liquid diet and laxatives the day before the procedure to clean out the intestine so that everything can be seen clearly. Each provider typically has their own specific set of bowel prep instructions. Medications such as aspirin or anticoagulants may be ordered to be withheld for several days before the test. Clients are generally NPO after a specific time the night before the test. During the procedure, the client receives sedative medication to stay relaxed. If a polyp is found, it can be removed during the procedure and sent for biopsy. Because air is inserted into the colon during procedure, the client may feel bloated or have abdominal cramps and should be encouraged to freely pass the gas. Because this is typically an outpatient procedure, the client is unable to drive after the test and requires transportation. Potential complications of the procedure are rare but include bleeding and perforation of the colon. The client should receive written instructions for when to contact the health care provider or emergency services if complications occur.^[18],[19]

Barium Enema

A barium enema is a special X-ray of the large intestine, including the colon and rectum, that is performed before and after instillation of barium via an enema. This test may also be referred to a “lower GI series.” It is an older diagnostic test that has been mostly replaced by the colonoscopy test. Prior to the procedure, the client completes a bowel preparation regimen to cleanse the colon, which typically includes a clear liquid diet for one to three days, followed by the administration of laxative medication and/or an enema. During the procedure, an X-ray is taken, and then an enema containing barium is administered. Additional X-rays are taken as the client changes position to get different views of the colon. See Figure 16.12^[20] for an image of barium enema results. After the procedure, it is normal for the client to have white stools for a few days. The client should be encouraged to drink extra fluids, as appropriate, and a laxative may be prescribed to prevent hard stools that can cause constipation.^[21]

Abdominal CT Scan

An abdominal CT scan is an imaging method that uses a series of X-rays to create cross-sectional pictures of the abdomen. Because of the series of X-rays, clients are exposed to more radiation than when receiving a traditional X-ray. They will lie on a narrow table that slides into the CT scanner where the machine’s X-ray beam rotates around them. A computer creates separate images, called slices, that can be viewed on a monitor or printed on film. Three-dimensional models of the area can be made by stacking the slices together.^[22] See Figure 16.13^[23] for an image of a CT scan.

A special dye, called contrast, is administered to clients before some tests so that certain areas show up better on the X-rays. If contrast is used, the client may be required to be NPO for four to six hours before the test. Contrast can be administered orally, rectally, or intravenously.

Oral contrast has a chalky taste and will pass out of your body through the stools. Clients receiving IV contrast may feel a slight burning sensation, metallic taste in the mouth, or warm flushing of the body that resolves in a few seconds.

Before sending the client for a procedure using contrast, check for previous allergies to iodine or other contrast dyes. Some clients may be prescribed diphenhydramine or corticosteroids before receiving the contrast if they have had a previous allergic reaction. Verify their kidney functioning status by checking BUN, creatinine, and EGFR values because IV contrast can worsen kidney function. If kidney function labs are abnormal, the nurse should notify the provider prior to the administration of IV contrast. If the client is currently taking the antidiabetic medication metformin, there may be restrictions placed on the administration of metformin before or after the procedure. Jewelry should be removed before the procedure.^[24]

After the procedure, encourage clients who have received contrast to increase their fluid intake to help eliminate it from their body, as appropriate. If they received barium, their stools will be light in color, and post-procedural laxatives are typically prescribed to prevent the stool from hardening, which can cause an impaction or obstruction.

Diagnosis

There are several nursing diagnoses related to alterations in elimination. Refer to a nursing care planning resource for current NANDA-I nursing diagnoses and evidence-based interventions. See Table 16.9b for common NANDA-I diagnoses related to elimination.

Table 16.9b Common NANDA-I Nursing Diagnoses Related to Alterations in Elimination

Sample PES Statements

Sample PES statements for the nursing diagnoses are as follows:

• Constipation related to insufficient fluid and fiber intake as evidenced by decreased stool frequency, hypoactive bowel sounds, and straining with defecation.
• Diarrhea related to gastrointestinal irritation as evidenced by cramping, hyperactive bowel sounds, and greater than three liquid stools in 24 hours.
• Bowel Incontinence related to generalized decline in muscle tone as evidenced by an involuntary passage of stool.
• Stress Incontinence related to weak pelvic muscle floor muscles as evidenced by leakage of a small amount of urine when laughing and jumping.
• Urinary Urge Incontinence related to ineffective toileting habits as evidenced by the inability to reach the toilet in time to avoid urine loss and frequently wet underclothes.
• Urinary Retention related to blockage in the urinary tract as evidenced by dribbling of urine in small amounts with frequent voiding and a reported sensation of bladder fullness.

Outcome Identification

See Table 16.9c for sample goals and outcome criteria associated with nursing diagnoses related to elimination alterations.

Table 16.9c Sample Goals and Outcome Criteria for Alterations in Elimination

Planning Interventions

Plan interventions customized to each client’s alteration, cause of the condition, and related SMART outcomes. See Table 16.9d for a summary of interventions for selected bladder and bowel alterations discussed in this chapter.

16.9d Summary of Interventions For Selected Bladder and Bowel Alterations

Implementing Interventions

Assess a hospitalized client’s bowel pattern and date of last bowel movement daily. Implement a bowel management plan as needed to achieve the goal of a bowel movement every one to three days to avoid constipation and impaction. Before administering laxatives and stool softeners, always assess the clientt’s recent stool characteristics and withhold medication if loose stools or diarrhea are occurring. In the same manner, when administering medications for a client with diarrhea, assess recent stool consistency and bowel pattern and withhold medication if the diarrhea is resolved or constipation is developing.

For many clients, alterations in elimination require health teaching on how to manage these conditions at home. Keep in mind that health teaching is an independent nursing intervention, so a provider order is not necessary to provide this important information.

Evaluation

Nurses evaluate the effectiveness of interventions based on the SMART outcomes established for each client and their circumstances. They determine if outcome criteria were met or if reassessment and/or revised interventions are required.