Ch. 59 Noninflammatory Intestinal Disorders

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created 6 years ago by NHeck
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updated 6 years ago by NHeck
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College: Fourth year
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1

What is a common concern of a patient with IBS?

Pain in the lower left quadrant of the abdomen

2

What is the treatment of choice for a Hernia?

Surgical repair

3

What are the most common signs of CRC?

rectal bleeding, anemia, and a change in stool consistency

4

Post colostomy, which problems should the nurse report to the surgeon?

Signs of ischemia and necrosis (dark red, purplish, or black color; dry, firm or flaccid)
unusual bleeding
Mucocutaneous separation (breakdown of the suture line securing the stoma to the abdominal wall)

5

Severe pain that stop and changes to tenderness on palpation, indicates what problem?

It indicates perforation of intestines

6

Why should ecchymosis be reported?

may indicate internal bleeding and should be reported immediately because bowel or major organ may be damaged

7

what are polyps?

They are small growths covered with mucosa and attached to the surface of the intestine

8

What is the most important preventative measure for hemorrhoids?

prevention of constipation

9

What is the classic symptom of malabsorption?

Diarrhea

10

What kind of drug therapy would be prescribed for a patient with IBS?

Either bulk forming (psyllium hydrophilic mucilloid, Metamucil)
or antidiarrheal agents (loperamid- Imodium, psyllium, alosteron-Lotronex)

11

Abdominal pain that increases with cough or movement and is relieved by bending the right hip or the knees can suggest what?

perforation and peritonitis

12

What is peritonitis?

is a life threatening, acute inflammation of the visceral/parietal peritoneum and endothelial lining of the abdominal cavity

13

What is the classic sign of peritonitis?

rigid, boardlike abdomen

14

What is gastroenteritis?

an increase in the frequency and water content of stools and or vomiting as a result of inflammation of the mucus membranes of the stomach and intestinal tract

15

What are the three mort common bacteria associated with gastroenteritis?

E.coli, Campylobacter and shigellosis

16

Why aren't drugs that suppress intestinal mobility prescribed for a pt diagnosed with gastroenteritis?

Use of these drugs can prevent the infecting organisms from being eliminated from the body

17

What is ulcerative colitis?

widespread inflammation of mainly the rectum and rectosigmoid colon, but can extend to the entire colon when the disease is extensive

18

What laboratory values are consistent with Inflammatory bowel disease?

An increased WBC count, C- reactive protein or erythrosedimentation rate (ESR) Blood levels of Na and K may be low

19

How can taking sulfasalazine (Azulfidine) help a client with Crohn's disease?

The drug decreases abdominal cramping by slowing peristalsis

20

What is a fistula?

abnormal tract between two or more body areas