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