Answers
Lower Gastrointestinal Anatomy Right Ans - Small Intestine: Duodenum,
Jejenum, Ilieum
Large Intestine: Secum, Colon, Rectum, Anal Canal
Focused Assessment of Lower GI Right Ans - Inspection, Auscultation,
Palpation
irritable bowel syndrome (IBS) Right 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 Right 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 Right Ans - Lubrprostone (Amitiza), Docusate Sodium
(Colace) Linaclotide (Linzess)
IBS-D Medications Right Ans - Loperamide (Immodium), Psyllium
(Metamucil) Alosteron
diverticulousis Right Ans - abnormal side pocket in intestinal wall causing
inflammation
Diverticulousis Health Promotion Right Ans - Increase Fiber Intake,
increase water intake at least 2L daily, avoid popcorn or seeds, if prescribed
take Colace as prescribed
Ingestion of popcorn and/or seeds may lead to what inflammatory disease?
Right Ans - Diverticulitis
Diverticulitis Right Ans - inflammation/infection of the diverticula
complications of diverticulitis Right Ans - perforation, peritonitis, bleeding
, Types of Mechanical Obstructions Right Ans - Tumor, Hernia, adhesions,
volvulus, intussusception
Hernia Mechanial Obstruction Right Ans - Protrudes and Kinks
Intussusception Obstruction Right Ans - Telescopes into the intestines
Volvulus obstruction Right Ans - twisting of the intestine on itself
nonmechanical obstruction Right Ans - a situation in which bowel is
blocked due to neurogenic disorders, vascular disorders, electrolyte
imbalances, inflammatory Responses
Nursing Management for Obstructions Right 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? Right
Ans - Fecal odor emesis, pain management brings no relief to patient
ulcerative colitis Right Ans - chronic inflammation of the colon with
presence of ulcers
Chrohn's disease Right Ans - chronic inflammatory process involving any
portion of the GI tract from the mouth to the anus; can skip segements
appendicitis Right Ans - inflammation of the appendix; right lower
quadrant pain
Colon Cancer Right Ans - a tumor with the colon/large intestine
colon cancer prevention Right Ans - High fiber diet, diet low in animal
fat/red meats. diet high in Vit. C, selenium, and calcium Carbonate.
Colonoscopy at age 50
What is colonoscopy? Right Ans - When a flexible fiber optic tube
(coloscope) is inserted through the anus to visualize the rectum, sigmoid,
desceding, transverse and ascending colon.