Unit 4 - intestinal and Rectal Disorders

The nurse needs to asssess the ____ and stools

abdomen

Medical management for intestinal obstruction also includes surgery for _____

adhesiosn

What are 4 clinical manifestations of IBS ?

alteration in bowel patterns, pain, bloating, abdominal distention

Acute abdomen could include which 3 p disease proccesses

appendicitis, sever diverticulits, intestinal obstruction

What are 2 inflammatory bowel diseases >

chron's disease, and ulcerative collitis

Manifestations of intestinal obstruction includes ____ pain, N/V, distention and how do the bowel sounds change

cockily, they go from high pitched/hyperactive to hypoactive to absent

are perinal involvement, fistulas, and abdominal masses common with crohsn disease of ulcerative collits ?

crohns disease

The client on TPN needs to have ____ weights

dailyt

The client with IBS should consume 8-10_glasses of water per day to prevent _____ and _____

dehydration, constipation

irritable bowel syndrome is a Chronic functional disorder characterized by recurrent abdominal pain associated with disordered bowel movements, which may include _______, _______ or both

diarrhea, constipation

Clinical manifestations of Crohn's disease include ____ and ___ __ quadrat abdominal pain, unrelieved by defication

diarrhea, right lower

Complications with inflammatory bowel disease can include _____ imbalances, cardiac ______, GI bleeding w/ fluid loss, and perforation of the bowel

electrolyte, dysrhytmias

Patient education for IBS includes dietary changes, keeping a food diary, adequate ___ intake and avoiding ____ and _____

fluid, smoking, alcohol

______, _______ , and enemas need to be avoided to prevent rupture in the patient with appendiciits

heat, laxatives

The client on TPN is also at risk for _______ , therefore the patient should be having BS check every ___ hours

hyperglycemia, 6

Activity will _____ peristalsis and may lead to increased diarrhea, therefore activity would need to be modified

increase

The client on TPN is at high risk for _____ from the central line and high glucose content from the TPN

infection

Triggers of IBS incldue chronic ____, sleep ______, surgery, infections, diverticulitis, and some _____

stress, deprivation, foods

Acute abdomen is an acute onset of abdominal pain requiring ____ intervention to prevent _____, sepsis, and septic shock

surgical, peritonitis

Clients are not treated ____ for IBs

surgicaly

The priority goal is to recognixe and avoid _____ for IBS

triggers

IBS is more common in which gender ?

women

_______ obstruction exists when blockage prevents the normal flow of intestinal contents through the intestinal tract

Intestinal

Medical management for intestinal obstruction includes decommpression by placing a ?? and allowing ____ rest

NG Tube, bowel

A patient with intestinal obstructino is put on ____ order immediately

NPO

The priority intervention for the client with appendicitis is to make patient _____

NPO

Optimal nutrition; elemental feedings that are high in protein and low residue or ______ may be needed

PN

Clinical manifestations of ulcerative collitis includes diarrhea, with passage of mucus, pus or ____, with ___ ___ quadrant pain

left lower

Medication such as _____ will be prescribed to stop the diarrhea

loperamide (immodium)

The nurse needs to educatie the client on implementing a ____ ___ diet, by limiting grains, cereals, nuts, seeds and raw vegetable

low residue

Acute abdomen could lead to peritonitis which is a ______ ____

medical emergency

Nursing intervetions for Intestinal obstruction includes assess I&O, daily wt., for nausea and vomiting and ____ as prescribed

medicating

In patients with crohn/s disease is there pain relief with eating ?

no , the eating causes the cramps due to peristaliss

The client on TPN is at risk for fluid volume ______

overload

Treatment of appendicitis includes _____ management and an _________, which is the removal of the appendix.

pain, appendectomy

When assessing the patient with Inflammatory bowel disease it is important to assess bowel elimination _______ and _____

patterns, stool

The patient must maintain a _____ of activity prior to symtoms of IBS

record

Nursing management of intestinal obstruction includes Assessing for manifestations consistent with _________ (e.g., return of normal bowel sounds, decreased abdominal distention, subjective improvement in abdominal pain and tenderness, passage of flatus or stool)

resolution

Clinical manifestations for appendicitis include severe _____ ____ quadrant rebound tenderness (which is pain upon the removal of pressure) at _______ point.

right lower, Mcburney's