chapter 47
name 2 symptoms associated with an intstinal obstruction
-sudden sustained abdominal pain -abdominal distention
pt hs a Kock Pouch: when cleaning it, how far should the catheter into the nipple/valve?
2 inches
what diagnostic test is most commonly used for diverticulosis?
Colonoscopy
client presents with: abdominal discomfort mild diarrhea BP 100/80 HR 88 RR 20 T 100F ..the nurse suspects that the client has
IBD
one cause of a functional intestinal obstruction
abdominal surgery
most common cause of small bowel obstructions
adhesions
a nurse caring for a client with a small bowel obstruction should plan to implement which nursing intervention first?
admin IV fluids
how to prevent leakage from an ileostomy when applying the appliance?
ask the client to remain inactive for 5 minutes
name one stimulant laxative
bisacodyl
infection between the internal and external sphincters, which disease is this seen in
chrons disease
string sign is significant of
chrons disease
what laxative should be used by a cardiac patient to avoid straining?
colace
barium paste into the rectum with radiographs taken as the client expels the barium?
defecography
which is the following would the nurse identify as a characteristic finding when assessing a client for pilonidal sinus?
dilated pits of hair follicles in the cleft
megacolon is associated with which rectal abnormality
fecal incontinence
a patient is suspected to have fecal incontinence: to rule out inflammation, what would the nurse prep the patient for?
flexible sigmoidoscopy
diarrhea for 2 weeks, stool was large and greasy looking.... most likely diagnosed with...?
intestinal malabsorption
what type of med has the potential to result in constipation?
laxative
opiate related antidiarrhea agent?
loperamide
a client has enteritis and frequent diarrhea, the nurse should anticipate what...
metabolic acidosis
which laxative should not be taken with food
mineral oil
S/S: abdominal pain, weight loss, marked steatorrhea, azotorrhea, frequent glucose intolerance what malabsorption disorder is this?
pancreatic insufficiency
post appendectomy: vomiting, abdominal tenderness/ridgity, tachycardia.... the nurse suspects...
peritonitis
LLQ is palpated, causing the client to report pain of the RLQ, what sign is this and what does it mean
positive Rovsing's sign and it means that the client may be suffering from acute appendicitis
which category of laxatives draw water into the intestines by osmosis?
saline agents such as magnesium hydroxide
client has diarrhea and is has digoxin listed on his MAR, what should be closely monitored?
potassium levels, causes a potential for hypokalemia
which diagnostic study will confirm colorectal cancer
sigmoidoscopy
a patient has regional enteritis, what is the most serious systemic complication?
small bowel obstruction
characteristic clinical feature of Zollinger Ellison syndrome
steatorrhea
Chron's disease: first line treatment
sulfasalazine: decreased inflammatory response
which symptom characterizes regional enteritis?
transmural thickening
the presence of mucus and pus in the stool suggests which condition?
ulcerative colitis
patients who bleed easily have what deficiency?
vitamin k