115 chap 60,exam

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115 chap 60,exam
2014-03-25 23:58:01
nursing exam
nursing 115
exam 60
Show Answers:

  1. what is the location of ulcerative colitis
    begins in the rectum and proceeds in a continuous manner toward the cecum
  2. location of Crohn's
    most often in the terminal ileum with patchy involvement through all layers of the bowel
  3. what is appendicitis
    • an acute inflammation of the appendix
    • it occurs when the opening of the appendix is obstructed, leads to infection as bacteria invade the wall of the appendix
    • when the lumen is blocked the mucosa secretes fluid which increases the internal pressure
  4. DO's
    if the nurse suspects appendicits
    • give IV fluids as prescribed (to keep pt from having fluid and electrolyte imbalance)
    • Keep pt in semi-Fowlers is possible (will help contain abdominal drainage in the lower abdomen)
  5. DON'Ts
    if nurse suspects pt has appendicitis
    • DO NOT give laxatives or enemas (may cause perforation)
    • DO NOT apply heat (may increase circulation which will increase inflammation)
  6. Key Features of Peritonitis
    • Rigid, Board-like Abdomen
    • Abdominal Pain
    • N/V, Anorexia
    • Diminishing Bowel Sounds
    • High Fever
    • Rebound Tenderness
    • Distended Abdomen
    • Inability to pass gas or feces
    • Tachycardia
    • Hiccups
  7. What is the GOLD Standard treatment for Ulcerative Colitis?
    • RPC-IPAA
    • restorative Proctocolectomy with Ileo Pouch Anal Anastomosis

    • colon and most of the rectum are removed the surgeon uses piece of the small intestine and makes a pouch either J or S shaped and it is connected to the anus
    • temporary ileostomy is made through the abdomen which is used while pt heals internally
  8. what is the etiology of Ulcerative colitis and crohn's
  9. describe the stools of UC
    10 to 20 liquid, bloody stools a day
  10. describe the stools of pt with Crohn's
    • 5 to 6 soft stools a day
    • No Blood
  11. complications of UC
    • Hemorrhage
    • Nutritional Deficiencies
  12. complications of Crohn's
    • Fistulas
    • Nutritional Deficiencies
  13. The need for surgery in Ulcerative Colitis Patients
  14. Need for Surgery for Crohn's Patients
  15. what type of gastroenteritis has to be reported to the health dept
  16. what is diverticulitis
    inflammation of one or more of the diverticula
  17. what is diverticulosis
    the presence of abnormal pouch-like herniations on the wall of the intestine
  18. diverticulosis / diverticulitis

    which one has symptoms and what are they
    • diverticulosis usually has no symptoms
    • diverticulitis may have abdominal pain most often LLQ, intermittent at first then becomes steady
  19. what causes diverticulosis
    diets low in fiber that cause less bulky stool and constipation have been implicated in the formation
  20. what is thought to be the cause of diverticulitis
    Retained undigested food in divertula is suggested to be one cause of diverticulitis, the retained food reduces blood flow to that area and makes bacterial invasion of the sac easier