PRN 1178 CCC2 EXAM 3 2025
QUESTIONS AND ANSWERS
Lower Gastrointestinal Anatomy - ANS Small Intestine: Duodenum, Jejenum, Ilieum
Large Intestine: Secum, Colon, Rectum, Anal Canal
Focused Assessment of Lower GI - ANS Inspection, Auscultation, Palpation
irritable bowel syndrome (IBS) - ANS symptom complex marked by abdominal pain and
altered bowel function (typically constipation, diarrhea, or alternating constipation and
diarrhea) for which no organic cause can be determined; mucus in stool, bloating, relief upon
defecation
IBS health promotion - ANS Keep Food and Fluid Diary, make note of foods/fluids ingested
triggers symptoms. Consume 2-3 L of water per day, increase fiber intake, manage stress
IBS-C medications - ANS Lubrprostone (Amitiza), Docusate Sodium (Colace) Linaclotide
(Linzess)
IBS-D Medications - ANS Loperamide (Immodium), Psyllium (Metamucil) Alosteron
diverticulousis - ANS abnormal side pocket in intestinal wall causing inflammation
Diverticulousis Health Promotion - ANS Increase Fiber Intake, increase water intake at least
2L daily, avoid popcorn or seeds, if prescribed take Colace as prescribed
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, Ingestion of popcorn and/or seeds may lead to what inflammatory disease? -
ANS Diverticulitis
Diverticulitis - ANS inflammation/infection of the diverticula
complications of diverticulitis - ANS perforation, peritonitis, bleeding
Types of Mechanical Obstructions - ANS Tumor, Hernia, adhesions, volvulus, intussusception
Hernia Mechanial Obstruction - ANS Protrudes and Kinks
Intussusception Obstruction - ANS Telescopes into the intestines
Volvulus obstruction - ANS twisting of the intestine on itself
nonmechanical obstruction - ANS a situation in which bowel is blocked due to neurogenic
disorders, vascular disorders, electrolyte imbalances, inflammatory Responses
Nursing Management for Obstructions - ANS Auscltaete 4 quadrants for 5 minutes each,
NPO, manage IV fluids, encourage ambulation, Semi-fowlers positon
What instances should the nurse call MD due to bowel obstructions? - ANS Fecal odor
emesis, pain management brings no relief to patient
ulcerative colitis - ANS chronic inflammation of the colon with presence of ulcers
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
QUESTIONS AND ANSWERS
Lower Gastrointestinal Anatomy - ANS Small Intestine: Duodenum, Jejenum, Ilieum
Large Intestine: Secum, Colon, Rectum, Anal Canal
Focused Assessment of Lower GI - ANS Inspection, Auscultation, Palpation
irritable bowel syndrome (IBS) - ANS symptom complex marked by abdominal pain and
altered bowel function (typically constipation, diarrhea, or alternating constipation and
diarrhea) for which no organic cause can be determined; mucus in stool, bloating, relief upon
defecation
IBS health promotion - ANS Keep Food and Fluid Diary, make note of foods/fluids ingested
triggers symptoms. Consume 2-3 L of water per day, increase fiber intake, manage stress
IBS-C medications - ANS Lubrprostone (Amitiza), Docusate Sodium (Colace) Linaclotide
(Linzess)
IBS-D Medications - ANS Loperamide (Immodium), Psyllium (Metamucil) Alosteron
diverticulousis - ANS abnormal side pocket in intestinal wall causing inflammation
Diverticulousis Health Promotion - ANS Increase Fiber Intake, increase water intake at least
2L daily, avoid popcorn or seeds, if prescribed take Colace as prescribed
1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
, Ingestion of popcorn and/or seeds may lead to what inflammatory disease? -
ANS Diverticulitis
Diverticulitis - ANS inflammation/infection of the diverticula
complications of diverticulitis - ANS perforation, peritonitis, bleeding
Types of Mechanical Obstructions - ANS Tumor, Hernia, adhesions, volvulus, intussusception
Hernia Mechanial Obstruction - ANS Protrudes and Kinks
Intussusception Obstruction - ANS Telescopes into the intestines
Volvulus obstruction - ANS twisting of the intestine on itself
nonmechanical obstruction - ANS a situation in which bowel is blocked due to neurogenic
disorders, vascular disorders, electrolyte imbalances, inflammatory Responses
Nursing Management for Obstructions - ANS Auscltaete 4 quadrants for 5 minutes each,
NPO, manage IV fluids, encourage ambulation, Semi-fowlers positon
What instances should the nurse call MD due to bowel obstructions? - ANS Fecal odor
emesis, pain management brings no relief to patient
ulcerative colitis - ANS chronic inflammation of the colon with presence of ulcers
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
