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Unit IX
Elimination Disorders for NUR 100
| Question | Answer |
|---|---|
| Diarrhea | increase in frequency, volume and fluid content of stools |
| constipation | infrequent or difficult passage of stool |
| irritable bowel syndrome (IBS) | spastic bowel or mucous colitis, disorder of the lower GI tract |
| fecal incontinence | loss of voluntary control of defecation |
| appendicitis | inflammation of the appendix |
| ulcerative colitis | chronic inflammatory bowel disorder that affects the mucosa of the colon and rectum |
| Crhon's disease | regional enteritis, chronic, relapsing inflammatory disorder of the GI tract, usually the terminal ileum and ascending colon |
| diverticulosis | presence of diverticula |
| diverticulitis | inflammation in and around the diverticular sac |
| Celiac disease | inability to digest and process gluten |
| lactase deficiency | inability to digest and process lactose |
| short bowel syndrome | due to bowel surgery, lack of surface area for digestion and nutrient absorption |
| polyp | growth within the bowel |
| colorectal cancer | abnormal malignant or benign cellular growth within the lower colon and rectum |
| urinary tract infection (UTI) | infection of the urinary tract |
| cystitis | inflammation of the urinary bladder |
| urethritis | inflammation of the urethra |
| prostatitis | inflammation of the prostate |
| pyelonephritis | inflammation of the renal pelvis and parenchyma |
| urinary calculi | kidney stones |
| urinary tract tumor | abnormal growth of cells in the urinary system |
| urinary retention | incomplete emptying of the urinary bladder |
| neurogenic bladder | disruption of the central or peripheral nervous systems affecting voiding |
| urinary incontinence | involuntary urination |
| dysuria | painful urination |
| urgency | sudden compelling need to urinate |
| nocturia | voiding 2 or more times at night |
| hematuria | blood in the urine |
| pyuria | cloudy urine |
| polyuria | abnormal production of large amounts of urine |
| olguria | less than 500 mL/day or less than 30 mL/hr |
| anuria | lack of urine production |
| patients ideally make ____ mL of urine/hr | 30 |
| CAUTI | Catheter Associated Urinary Tract Infection |
| Manifestations of cystitis | dysuria, pyuria, frequency, hematuria, urgency, suprapubic discomfort, nocturia |
| Manifestations of Acute Pyelopenpritis | Urinary: frequency, dysuria, pyuria, hematuria, flank pain, costovertebral tenderness Systemic: vomiting, diarrhea, acute fever, chills, malaise |
| Nursing Diagnosis for a patient with UTI | acute pain, knowledge deficit, readiness for enhanced self-health maintenance, impaired urinary elimination |
| lithiasis means | stone formation |
| symptoms of urinary calculi | vary with size and location, flank pain, chills, fever, frequency, urgency, hematuria |
| Nursing Diagnosis for a patient with urinary calculi | Acute pain, impaired urinary elimination, readiness for enhanced knowledge. |
| symptoms of urinary tract tumor | gross hematuria, colicky pain, UTI like symptoms |
| Nursing Diagnosis for a patient with urinary tract tumor | impaired urinary elimination, risk for infection, risk for impaired skin integrity, disturbed body image, |
| symptoms of urinary retention | inability to empty bladder completely |
| Nursing Diagnosis for a patient with urinary retention | impaired urinary elimination, risk for infection, risk for impaired skin integrity |
| types of neurogenic bladder | spastic and flaccid |
| symptoms of urinary incontinence | impaired bladder control |
| Nursing Diagnosis for a patient with urinary incontinence | readiness for enhanced urinary elimination, toileting self-care deficit, impaired social interaction, risk for infection, risk for impaired skin integrity, social isolation |
| symptoms of diarrhea | frequent loose stools |
| Nursing Diagnosis for a patient with diarrhea | Diarrhea, risk for fluid volume deficit, risk for impaired skin integrity |
| symptoms of constipation | less than 2 bowel movements in one week |
| Nursing Diagnosis for a patient with constipation | Constipation, activity intolerance, social isolation |
| symptoms of irritable bowel syndrome | change in frequency, abnormal stool form, altered stool passage, massage of mucus |
| Nursing Diagnosis for a patient with irritable bowel syndrome | diarrhea, constipation, risk for fluid volume deficit, knowledge deficit, readiness for enhanced knowledge |
| symptoms of fecal incontinence | loss of voluntary control of defecation |
| Nursing Diagnosis for a patient with fecal incontinence | bowel incontinence, risk for impaired skin integrity, social isolation |
| symptoms of appendicitis | right lower quadrant pain, rebound tenderness at McBurney's Point |
| Nursing Diagnosis for a patient with appendicitis | Risk for infection, Acute pain |
| two categories of inflammatory bowel disease | Ulcerative Colitis and Crohn's Disease |
| symptoms of ulcerative colitis | diarrhea, stools containing blood and mucus, left lower quadrant cramping relieved by deification, fatigue, anorexia, weakness |
| symptoms of Crohn's Disease | persistent diarrhea, liquid or semi-formed but not containing blood, right lower quadrant pain relieved by defecation, fever, malaise, anemia |
| Nursing Diagnosis for a patient with inflammatory bowel disease | diarrhea, disturbed body image r/t ostomy placement, imbalanced nutrition: less than |
| symptoms of diverticulosis and diverticulitis | left sided pain, cramping, nausea, vomiting, fever, abdominal distention |
| Nursing Diagnosis for diverticulosis and diverticulitis | Potential complication: perforation, acute pain, anxiety |
| symptoms of celiac disease | inability to tolerate gluten ingestion, abdominal cramping and bloating, diarrhea, steatorrhea |
| Nursing Diagnosis for a patient with celiac disease | diarrhea, imbalanced nutrition: less than, readiness for enhanced knowledge r/t diet modification ie: gluten |
| symptoms of lactase deficiency | inability to tolerate lactase ingestion, lower abdominal cramping, diarrhea |
| Nursing Diagnosis for a patient with lactase deficiency | diarrhea, imbalanced nutrition: less than, readiness for enhanced knowledge r/t diet modification ie: milk and milk products |
| symptoms of polyps | intermittent painless rectal bleeding, bright or dark red, abdominal cramping, pain, obstruction |
| Nursing Diagnosis for a patient with polyps | readiness for enhanced knowledge r/t polyp prevention and treatment |
| symptoms of colorectal cancer | generally no manifestations until the cancer has progressed |
| Nursing Diagnosis for a patient with colorectal cancer | acute pain, imbalanced nutrition: less than, anticipatory grieving, risk for sexual disfunction |