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Bowel Disorders-26

Caring for clients with Bowel disorders

What is diarrhea? an increase in the frequency, volume, and water content of stool.
What is a main complication of diarrhea? dehydration
What is another complication that can happen with rapid fluid loss? hypovolemic shock
What diagnostics test is done for a culture in diarrhea? stool specimen
What is the dietary managment for diarrhea? solid food witheld during first 24 hours of acute diarrhea.
What is priority for clients with diarrhea? fluid replacement
What is a common antidiarrheal used to treat acute diarrhea? Pepto-Bismol
How long should you take Pepto-Bismol? No longer than 48 hours.
When should you give Pepto-Bismol? 1 hour before or 2 hours after oral medications.
What diagnosis for diarrhea refer to skin? Risk for skin intergrity
What diagnosis for diarrhea refer to fluid? Risk for Deficient fluid volume
What is contipation? infrequent or difficule passage of stools. When a client has two or fewer bowel movements weekly.
When is it inappropriate to give laxatives? suspected bowel obsrtuctioin or impaction.
What is a common lubricant that is used for constipation? Mineral oil
When should magnesim citrate be given? on empty stomach with a full glass of water
What should the nurse teach the client about bowel preps? expect abdominal cramping, don't eat solid food 3 to 4 hours prior to ingesting polyethylene glycol solutions.
What is appendicitis? inflammation of the appendix
Where is the appendix? right lower quadrant region at McBurney's point.
How can the appendix become obstructed? hard feces, stone, inflammationor parasites.
What are manifestations of appendicitis? generalized abdominal pain in RUQ, rebound tenderness, anorexia, nasuea and vomtiting, low grade fever, aggravated by right hip extension.
What is a major complication of acute appendicitis? perforation
What will you see in a WBC for a patient with appendicitis? elevated wbc
What diagnostic test is done to confirm a diagnosis of appendicitis? abdominal ultrasound.
What surgery is the treatment of choice for appendicitis? appendectomy
How is the appendectomy performed? laparotomy or laparoscopy
What is a laparotomy? surgical opening of the abdomen
What is a lapraroscopy? exploration of the abdomen using a endoscope.
What is peritonitis? inflammation of peritoneum
What are the manifestations for acute abdominal peritonitis? diffuse or localized pain, rebound tenderness, board-like rigidity or guarding of abdomen,diminished or absent bowel sounds.
What are the manifestations for systemic peritonitis? fever, malaise, tachycardia, tachypnea, restlessness, confusion, oliguria.
What are the manifestations of Ulcerative Colitis? 5 to 30 bloody stool, left lower quadrant crampy abdominal pain;relieved by defaction., anemia, weight loss.
What is the dietary management for ulcerative colitis during exacerbation ? NPO
What surgeries are for ulcerative colitis? total colectomy or ileostomy
What will be your pre-op teaching for bowel surgery? pain management, turning , coughing and deep breathing, and expected tubes.
What will be your post-op teaching for bowel surgery? encourage ambulation to stimulate peristalsis,provide pescribed medications, assess respiratory status,monitor bowel sounds.
What are the risk factors for Colorectal Cancer? over age 50 years of age,family history of colorectal cancer, polyps of rectum or colon, smoking, alcohol consumption, inactivity, obesity, high fat diet, low fruit and vegetable intake.
What are some nursig diagnosis associated with a patient who has colorectal cancer? acute pain, grieving, and sexual dysfunction.
What are the different types of hernia? inguinal, strangulated, incarcerated, umbilical, incisional, ventral, and reducible.
What type of hernia occurs when the blood supply to tissue within the hernia? strangualated
What is your nursing care for a patient with hernia? comfort(pain and edema)adm pain meds and elevation, assess bowel sounds(note distention) and assess for signs of possible obstruction.
What type of hernia result from inadequate healing of a surgical incision? ventral
What type of hernia occurs in the abdominal wall? incisional
What type of hernia could be congential, from pregnancy, obesity or ascites? umbilical
Manifestations of bowel obstruction? abdominal pain; cramping or colicy, vomiting, borborygmi adn high pitched, tinkling bowel sounds, abd distention, signs of hypovelmia.
Created by: gmcghee