CHAPTER 48 Management of Patients with Intestinal and Rectal Disorders QUIZ

The most common bacteria found in antibiotic associated diarrhea is

CDIFF

List the common bacteria found in a patient who has developed peritonitis:

Escherichia coli, klebsiella, proteus, pseudomonas

Name the hallmark signs of malabsorption syndrome:

Frequent diarrhea, foul smelling stools with high fat content & often grey (steatorrhea)

Name at least four factors that may be associated with the development of irritable bowel syndrome:

Heredity, stress, depression, diet high in fat

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

Keep a 1 to 2 week symptom and food diary to identify food triggers

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

Stop the irrigation and remove the tube.

Name four complications associated with diverticulitis

peritonitis, abscess formation, fistulas and bleeding

Describe the physiologic response that occurs when a patient has a Valsalva maneuver while straining during defecation:

raises blood pressure

The most common site for the presence of diverticulitis is the

sigmoid colon

The recommended dietary intake of fiber is ______ grams per day. This intake along with 1.5 to 2L of fluids daily, should prevent constipation that occurs with fewer than three bowel movements per week.

25-30

The two diseases of the colon that are commonly associated with constipation are

Irritable bowel syndrome and diverticular disease

Common clinical manifestations of Crohn's disease are

abdominal pain and diarrhea

The majority of large bowel obstructions are caused by

adenocarcinoid tumors

A patient arrives in the emergency department with complaints of right lower abdominal pain that began 4 hours ago and is getting worse. The nurse assesses rebound tenderness at McBurney's point. What does this assessment data indicate to the nurse?

Appendicitis

A patient is not having daily bowel movements and has begun taking a laxative for this problem. What should the nurse educate the patient about regarding laxative use?

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

The nurse is assessing a patient with appendicitis. The nurse is attempting to elicit a Rovsing's sign. Where should the nurse palpate for this indicator of acute appendicitis?

Left lower quadrant

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

Maintaining skin integrity.

The three most common causes of small bowel obstruction are

adhesions, hernias, neoplasms