MDC 2 exam 3 || Questions and 100% Verified Answers.
non-inflammatory disorders correct answers obstruction &fecal impaction, polyps, colorectal
cancer, stomas, IBS,
obstruction & fecal impaction types correct answers nonmechanical (intrinsic)
mechanical (physical): adhesion, tumor, intussusception, hernia (protrusion), volvulus
Obstruction & fecal impaction S/S correct answers N&V, cramping, abdomen distention, pain,
obstipation (halt of BM), long history of constipation, Fever, Tachycardia
obstruction & fecal impaction complications correct answers · High obstruction (metabolic
alkalosis), low obstruction (metabolic acidosis), peritonitis, strangulated obstruction
Bowel obstruction
bowel obstruction correct answers Mechanical blockage or paralytic ileus, may bad order fecal
smell, abdominal distention, constipation, can't pass flatus, silent bowel sounds or high pitched
then silent, higher the obstruction the quicker the symptoms
obstruction & fecal impaction assessment small bowel correct answers abdominal discomfort
with visible peristaltic waves, upper or epigastric abdominal distention, N&V, obstipation,
severe fluid and electrolyte imbalances, metabolic alkalosis
·
obstruction & fecal impaction assessment large bowel correct answers intermittent lower
abdominal cramping, lower abdominal distention, minimal or no vomiting, obstipation or ribbon
like stool, no major fluid and electrolyte imbalances, metabolic acidosis sometimes
obstruction & fecal impaction diagnosis correct answers WBC, CT or MRI, Ultrasound,
Endoscopy
obstruction & fecal impaction nursing care correct answers · Monitor vital signs, assess
abdomen, monitor fluid and electrolyte status, pain management, manage nasogastric tube
(drainage, patency, placement, irrigate, mouth & nares care, semi-fowlers position)
preventing fecal impaction correct answers Ear high-fiber foods (raw fruits, veggies, whole
grain), drink adequate amounts of fluids, no routine laxatives, encourage regular exercise, natural
foods to stimulate peristalsis (warm beverages, prune juice), bulk forming foods (Metamucil),
check stool for amount & frequency, sit on toilet rather than bed pan for elimination
polyps correct answers small mucosal growths attached to surface of intestines (most benign),
usually asymptomatic, removed through scope procedure (rectal bleeding, intestinal obstructions,
intussusception)
, colorectal cancer correct answers 3rd most common cancer death, most common in AA, Health
promotion (diagnostic screenings, colonoscopy every 10years, annual FOBT, early & more
frequent if you have family history)
colorectal cancer assessment correct answers Rectal bleeding, anemia, change in stool
consistency/ shape, transverse/descending colon have obstruction, gas pains, cramping,
incomplete evacuation, rectosigmoid colon may have hematochezia, straining, narrowing of
stools, dull pain, may have obstruction symptoms depending on location
colorectal cancer diagnosis correct answers · Low Hbg/Hct, + FOBT, double contrast barium
enema, CT/MRI, sigmoidoscopy/ colonoscopy, elevated CEA
colorectal cancer surgical management correct answers · Colon resection, colectomy (colostomy
-temporary/ permanent- ileostomy), Abdominoperineal resection
stomas correct answers -Reddish pink, moist, protrude about ¾ inch, function in 2-3 days
-Psychosocial needs
-Educations- protect skin, nutrition, stool consistency
irritable bowel syndrome (IBS) correct answers Chronic diarrhea, constipation, pain, bloating,
unknown etiology, diet, stress, anxiety exacerbate, food intolerance (dairy products, raw fruits,
grains)
IBS interventions correct answers · Diet- 30-40 g/day fiber, regular meals. 8-10 glasses of water,
chew food slowly
· Meds- bulk-forming, antidiarrheal, tricyclic antidepressants, depends on symptoms
· Complementary therapy- stress management, daily probiotic, peppermint oil capsules
herniations correct answers -weakness in abdominal wall, structure protrudes
-Lump at site, non-surgical and surgical management
Hemorrhoids correct answers -unnaturally swollen or distended veins
-Internal or external, management- prevent constipation, increase water and fiber intake
malabsorption syndrome correct answers -inflammation or intrinsic factor
-Deficiencies in bile salts & enzymes, bacteria present
inflammatory disorders correct answers appendicitis, peritonitis, gastroenteritis, ulcerative
colitis, Crohn's disease
appendicitis (acute) correct answers inflammation occur when it is blocked, most common cause
of RLQ pain, located below the ileocecal valve, most common complication is peritonitis,
treatment is surgery
peritonitis (acute) correct answers o life threating, infection, potential for septicemia due to
bacteria entering by perforation
non-inflammatory disorders correct answers obstruction &fecal impaction, polyps, colorectal
cancer, stomas, IBS,
obstruction & fecal impaction types correct answers nonmechanical (intrinsic)
mechanical (physical): adhesion, tumor, intussusception, hernia (protrusion), volvulus
Obstruction & fecal impaction S/S correct answers N&V, cramping, abdomen distention, pain,
obstipation (halt of BM), long history of constipation, Fever, Tachycardia
obstruction & fecal impaction complications correct answers · High obstruction (metabolic
alkalosis), low obstruction (metabolic acidosis), peritonitis, strangulated obstruction
Bowel obstruction
bowel obstruction correct answers Mechanical blockage or paralytic ileus, may bad order fecal
smell, abdominal distention, constipation, can't pass flatus, silent bowel sounds or high pitched
then silent, higher the obstruction the quicker the symptoms
obstruction & fecal impaction assessment small bowel correct answers abdominal discomfort
with visible peristaltic waves, upper or epigastric abdominal distention, N&V, obstipation,
severe fluid and electrolyte imbalances, metabolic alkalosis
·
obstruction & fecal impaction assessment large bowel correct answers intermittent lower
abdominal cramping, lower abdominal distention, minimal or no vomiting, obstipation or ribbon
like stool, no major fluid and electrolyte imbalances, metabolic acidosis sometimes
obstruction & fecal impaction diagnosis correct answers WBC, CT or MRI, Ultrasound,
Endoscopy
obstruction & fecal impaction nursing care correct answers · Monitor vital signs, assess
abdomen, monitor fluid and electrolyte status, pain management, manage nasogastric tube
(drainage, patency, placement, irrigate, mouth & nares care, semi-fowlers position)
preventing fecal impaction correct answers Ear high-fiber foods (raw fruits, veggies, whole
grain), drink adequate amounts of fluids, no routine laxatives, encourage regular exercise, natural
foods to stimulate peristalsis (warm beverages, prune juice), bulk forming foods (Metamucil),
check stool for amount & frequency, sit on toilet rather than bed pan for elimination
polyps correct answers small mucosal growths attached to surface of intestines (most benign),
usually asymptomatic, removed through scope procedure (rectal bleeding, intestinal obstructions,
intussusception)
, colorectal cancer correct answers 3rd most common cancer death, most common in AA, Health
promotion (diagnostic screenings, colonoscopy every 10years, annual FOBT, early & more
frequent if you have family history)
colorectal cancer assessment correct answers Rectal bleeding, anemia, change in stool
consistency/ shape, transverse/descending colon have obstruction, gas pains, cramping,
incomplete evacuation, rectosigmoid colon may have hematochezia, straining, narrowing of
stools, dull pain, may have obstruction symptoms depending on location
colorectal cancer diagnosis correct answers · Low Hbg/Hct, + FOBT, double contrast barium
enema, CT/MRI, sigmoidoscopy/ colonoscopy, elevated CEA
colorectal cancer surgical management correct answers · Colon resection, colectomy (colostomy
-temporary/ permanent- ileostomy), Abdominoperineal resection
stomas correct answers -Reddish pink, moist, protrude about ¾ inch, function in 2-3 days
-Psychosocial needs
-Educations- protect skin, nutrition, stool consistency
irritable bowel syndrome (IBS) correct answers Chronic diarrhea, constipation, pain, bloating,
unknown etiology, diet, stress, anxiety exacerbate, food intolerance (dairy products, raw fruits,
grains)
IBS interventions correct answers · Diet- 30-40 g/day fiber, regular meals. 8-10 glasses of water,
chew food slowly
· Meds- bulk-forming, antidiarrheal, tricyclic antidepressants, depends on symptoms
· Complementary therapy- stress management, daily probiotic, peppermint oil capsules
herniations correct answers -weakness in abdominal wall, structure protrudes
-Lump at site, non-surgical and surgical management
Hemorrhoids correct answers -unnaturally swollen or distended veins
-Internal or external, management- prevent constipation, increase water and fiber intake
malabsorption syndrome correct answers -inflammation or intrinsic factor
-Deficiencies in bile salts & enzymes, bacteria present
inflammatory disorders correct answers appendicitis, peritonitis, gastroenteritis, ulcerative
colitis, Crohn's disease
appendicitis (acute) correct answers inflammation occur when it is blocked, most common cause
of RLQ pain, located below the ileocecal valve, most common complication is peritonitis,
treatment is surgery
peritonitis (acute) correct answers o life threating, infection, potential for septicemia due to
bacteria entering by perforation
