NUR 201 GI part 1

Celiac sprue is an example of which category of malabsorption?

Mucosal disorders causing generalized malabsorption

Borborygmus

Borborygmus is the intestinal rumbling that accompanies diarrhea.

Signs/symptoms of appendicitis?

Nausea is typically associated with appendicitis with or without vomiting. Pain is generally felt in the RLQ. Rebound tenderness may be present and low-grade fever.

A 50-year-old woman is brought into the ED with symptoms suggestive of peritonitis. Nursing management would include all of the following, except?

Analgesics are limited to avoid the formation of paralytic ileus

When planning care for a client with a small-bowel obstruction, the nurse should consider the primary goal to be:

Because a client with a small-bowel obstruction can't tolerate oral intake, fluid volume deficit may occur and can be life-threatening. Therefore, maintaining fluid balance is the primary goal.

A patient with an ileostomy should avoid which of the following?

Enteric-coated products and some modified-release drugs, such as slow-release beads and layered tablets. This is because these products may pass through without being absorbed

A patient is diagnosed with abdominal perforation. Which of the following is a clinical manifestation of this disease process?

Hypotension, increased temperature, tachycardia, and elevated ESR.

When interviewing a client with internal hemorrhoids, which of the following would the nurse expect the client to report?

Internal hemorrhoids cause bleeding but are less likely to cause pain, unless they protrude through the anus. External hemorrhoids may cause few symptoms, or they can produce pain, itching, and soreness of the anal area.

After teaching a group of students about irritable bowel syndrome and antidiarrheal agents, the instructor determines that the teaching was effective when the students identify which of the following as an example of an opiate-related antidiarrheal agent?

Loperamide (Imodium) and diphenoxylate with atropine sulfate (Lomotil) are examples of opiate-related antidiarrheal agents

Diet modifications for pt diagnosed with IBS include?

Oral fluids and a low-residue, high-protein, high-calorie diet with supplemental vitamin therapy and iron replacement are prescribed to meet the nutritional needs, reduce inflammation, and control pain and diarrhea.

Most common symptom of a polyp?

Rectal bleeding, lower abdominal pain may also occur.

Which of the following will the nurse observe as symptoms of perforation in a patient with intestinal obstruction?

Sudden, sustained pain, abdominal distention, and fever

Which of the following would a nurse expect to assess in a client with peritonitis?

The client with peritonitis would typically exhibit a rigid, board-like abdomen, with absent bowel sounds, elevated pulse rate, and rapid, shallow respirations.

Crohn's disease

The clusters of ulcers take on a cobblestone appearance. It is characterized by remissions and exacerbations. The pn is located in the RLQ. The lesions are not in continuous contact with one another and are separated by normal tissue

On the first day after surgery, the nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding?

The stoma should appear cherry red, indicating adequate arterial perfusion. A dusky stoma suggests decreased perfusion.

A pt complains of the presence of mucus and pus in his stools, the nurse assesses for additional signs/symptoms of which of the following disease/conditions?

Ulcerative colitis

Which of the following is one of the primary symptoms of Irritable Bowel Syndrome (IBS)?

constipation, diarrhea, or a combination of both