Medical-Surgical Nursing Concepts & Practice 3rd Edition Chapter 29 questions and verified answers 100%

Medical-Surgical Nursing Concepts & Practice 3rd Edition Chapter 29 questions and verified answers 100% What is a disorder of GI motility thought to result from hypersensitivity of bowel walls leading to disruption of normal function of intestinal walls? - ANSWERS IBS What are the triggers of IBS? - ANSWERS stress caffeine diary wheat What are the three characteristics (symptoms) that are typical in IBS? - ANSWERS altered bowel elimination (constipation/diarrhea) abdominal pain/bloating absence of disease What clinical manifestations dx IBS? - ANSWERS abdominal pain relieved by defecation change in stool frequency/consistency mucorrhea (mucus in stool) abdominal bloating What foods should be avoided in IBS? - ANSWERS gas forming foods such as: legumes cabbage onions potatoes cucumbers coffee/tea carbonated beverages milk if intolerant What complimentary therapy can provide temporary relief of abdominal pain associated with IBS? - ANSWERS peppermint oil *can not used in GERD as can worsen heartburn* What is a small, blind pouch resulting from a protrusion of mucous membranes of a hollow organ through a weakened area of the organ's muscular wall? - ANSWERS diverticula What is the presence of diverticula? - ANSWERS diverticulosis What are the factors of development of colon diverticula? - ANSWERS intra-abdominal pressure (constipation) obesity low fiber diet What is inflamed or infected diverticula? - ANSWERS diverticulitis What is herniation of esophageal mucosa and submucosa? - ANSWERS esophageal diverticula What are the s/s of diverticulitis of the intestines? - ANSWERS rectal bleeding diarrhea or contipation acute LLQ pain bloating N/V What are the s/s of esophageal diverticula? - ANSWERS dysphagia regurgitation nocturnal cough halitosis How can diverticulosis be managed? - ANSWERS high fiber diet increase fluids bulk laxative or stool softeners How is diverticulitis treated? - ANSWERS antidiarrheal meds clear liquid diet for 2-3 days oral antibiotics mild pain meds for abdominal discomfort How are recurrent episodes of diverticulitis, perforation, and peritonitis treated? - ANSWERS surgical removal of affected part of the colon How does meperidine effect the elderly? - ANSWERS they have difficulty metabolizing and eliminating it, leading to toxicity causing seizures/confusion What is a sudden or gradual blockage of the intestinal tract that prevents the normal passage of contents through the intestines? - ANSWERS intestinal obstruction What is twisting of the bowel? - ANSWERS volvulus What is telescoping of one part of the bowel into itself? - ANSWERS intussusception What is failure of forward movement of bowel contents? - ANSWERS paralytic ileus Why are the elderly more prone to twisting of the bile and intestinal obstruction? - ANSWERS decreased muscle tone What are the s/s of the elderly that may indicate an obstruction? - ANSWERS sudden abdominal pain vomiting abdominal distention with palpable mass increased bowel sounds signs of dehydration What are the characteristics of a high intestinal obstruction? - ANSWERS sharp, brief upper abdominal pains frequent, high pitched sounds at obstruction absent bowels sounds below obstruction What is the meaning of lysed? - ANSWERS broken apart What is a protrusion of the intestine through the abdominal wall? - ANSWERS hernia What are the most common factors in the development of a hernia? - ANSWERS lifting heavy objects chronic cough straining to void/defecate ascites What is a hernia that can be returned to its' proper place by pressing on the organ? - ANSWERS reducible What is a hernia in which the protruding part of the organ is tightly wedged outside the cavity and cannot be pushed back inside? - ANSWERS irreducible or incarcerated What is a hernia in which blood supply is cut off from the protruding part of the organ? - ANSWERS strangulated or incarcerated What is a surgical procedure used to treat a hernia? - ANSWERS herniorrhaphy What is a surgical procedure to correct a hernia in which a strong synthetic material is sewn over the defect to reinforce the area? - ANSWERS hernioplasty What is a appliance used prevent protrusion of a hernia when surgery is not possible? - ANSWERS truss What are the s/s of bowel ischemia? - ANSWERS abdominal pain/cramps N/V/D abdominal tenderness guarding elevated wbc What is the treatment for bowel ischemia? - ANSWERS NPO NG tube IV hydration foley What two diseases are included in inflammatory bowel disease? - ANSWERS ulcerative colitis crohn's disease What is an inflammation with formation of ulcers of the mucosa of the colon? - ANSWERS ulcerative colitis