Ch 41 man of pat w/int rec dis

The nurse is irrigating a colostomy. The catheter should be advanced into the stoma____ to____inches

2-3

The nurse is performing an abdominal assessment for a patient with diarrhea and also states a loud rumbling sound in the lower left quadrant. How will the nurse document the sound on the nurses notes?

Borborgmus

A patient is admitted to the hospital after not having had a bowel movement in several days. The nurse observes the patient is having a small liquid stools, a distended abdomen with cramping. Which complication with the nurse monitor the patient for?

Bowel perforation

Describe the physiologic response that occurs when a pt performs valsva maneuver while straining during defecation

Forcible exhalation against a closes epiglottis followed by rise in the intrathoracic pressure and subsequent possible dramatic rise in arterial pressure

What are the hallmark signs of malabsorption syndrome

Frequent loose bulky, foul smelling stools that have increased fat content and are often grayish (steaorrhea)

What are the four classifications for constipation based on their underlying pathophysiologic mechanism

Functional constipation Slow transit constipation Defecatory disorders Opioid induced constipation

A disorder of malabsorption that in activates pancreatic enzymes is

Hey Zollinger - Ellison syndrome

A patient is not having daily bowel movements and has begun regular laxative use. Which education with the nurse provide regarding laxative use?

Laxatives should not be routinely taken due to the destruction of nerve endings in the colon

The nurse is caring for an older adult patient experiencing fecal incontinence. When planning the care of this patient, which will the nurse designate as a priority goal?

Maintaining skin integrity

The nurse is admitting a patient with a diagnosis of diverticulitis says that the patient has a board like abdomen, no bowel sounds, and report severe abdominal pain. Which is the nurses first action?

Notify the healthcare provider

Which four complications are associated with diverticulitis

Peritonitis, abscess formation, fistulas, and bleeding

A _____ with contrast agent is a diagnostic test of choice to confirm diverticulosis

Abdominal CT scan

manifestations of Crohn's disease are

Abdominal pain and diarrhea

The majority of large bowel obstructions are caused by ___________.

Adenocarcinoid tumors

The three most common causes of small bowel obstruction are

Adhesions, hernias, neoplasms

____ may be performed to assess malfunction of the sphincter.

Anoredtal manometry

The nurse is irrigating a colostomy when the patient says, you will have to stop I am cramping so badly. Which is a priority action by the nurse?

Clamp the tubing and give the patient armrest period.

A patient suspected to have diverticulosis without symptoms of diverticulitis. Which diagnostic test is the nurse anticipate educating a patient about prior to scheduling?

Colonoscopy

A patient is having a diagnostic work up for reports of frequent diarrhea right lower abdominal pain, and weight loss. The nurse is reviewing the results of the barium study and notes the presence of string sign. Which is the significance of this in relation to the patient's condition?

Crohn's disease

The nurse is caring for a patient who has malabsorption syndrome with an under undetermined cause. Which procedure will the nurse assist with that is the best diagnostic test for the illness

Endoscopy with mucosal biopsy

Which common bacteria may be found in a patient who has developed peritonitis.?

Escerichia coli, klebsiella, proteus, and pseudomonas

Which factors are associated with the development of irritable bowel syndrome

Hereditary, for psychological, stress or conditions such as depression or anxiety, a diet high in fat, stimulating or irritating foods, alcohol consumption, and smoking

The nurse is caring for a patient who has had an appendectomy. Which is the best position for the nurse to maintain the patient in after the surgery?

Hi Fowler

Which factors for colorectal cancer can the nurse educate the public about

Increasing age, family hx, previous colon cancer, alcohol consumption, smoking hx, obesity, hx gastrectomy,

A patient with irritable bowel syndrome has been having more frequent symptoms lately and it's not sure what lifestyle changes may have occurred. Which suggestion can the nurse provide to identify a trigger for the symptoms?

Keep a one to two weeks symptom and food diary to identify food triggers

The nurse is assessing a patient with appendicitis. The nurse is attempting to elicit a rovsing sign. Where will the nurse palpate for this indicator of acute appendicitis?

Lower left quadrant

___ is a dilated and atomic colon caused by a fecal mass that obstructs the passage of colon contents.

Megacolon

Loss of bicarbonate with diarrhea may lead to

Metabolic acidosis

A patient is being seen in the clinic reporting painful hemorrhoids. The nurse assesses a patient and observes hemorrhoids are prolapsed but able to be placed back in the rectum manually. The nurse documents to hemorrhoids as which degree?

Third degree

A patient arrives in the emergency department reporting Right lower abdominal pain that began four hours ago and is getting worse. The nurse assesses rebound tenderness at McBurney point. Which does this assessment data indicate to the nurse

Ulcerative colitis

May affect the ability of the digestive system to absorb the major water soluble

Vitamin B 12

The nurse is assigned to care for a patient two days after an appendectomy due to a ruptured appendix with resultant peritonitis. The nurse has just assist the patient with ambulation to the bedside commode when the patient points to the surgical site and informed the nurse that "something gave away quotation". Which complication does the nurse suspects may have occurred?

Wound dehiscence has occurred.