CCC2 Exam 3 Questions and Correct Answers

CCC2 Exam 3 Questions and Correct Answers irritable bowel syndrome - Correct Answer: A functional disorder of gastrointestinal motility Cause if IBS - Correct Answer: Unknown Pathophysiology of IBS - Correct Answer: altered motility, neurohumoral receptors (serotonin), visceral hypersensitivity, post infection, altered colonic flora, psychosocial Symptoms of IBS - Correct Answer: Alteration in vowel elimination; abdominal pain or bloating; absence of detectable organic disease Diagnosis of IBS - Correct Answer: based on s&s rule out other etiologies Mucorrhea Abdominal bloating Treatment of IBS - Correct Answer: Bulk forming agents; antidiarrheals; antispasmodics; antidepressants; anticholingergics/sedatives and mild analgesics Diverticula - Correct Answer: Small, blind pouch resulting from a protrusion of the mucous membranes of a hollow organ through weakened areas of the muscular wall What causes diverticulosis? - Correct Answer: Increases in intra-abdominal pressure from constipation and straining to defecate; obesity; and low fiber diet Pathophysiology of diverticulitis - Correct Answer: When the diverticula become inflamed or infected Herniation into the surrounding tissue Symptoms of diverticulosis - Correct Answer: maybe rectal bleeding symptoms of diarrhea or constipation acute left lower abdominal pain bloating nausea and vomiting Diagnosis of diverticulosis - Correct Answer: CT of the abdomen with colonic contrast Nurse management of diverticulosis - Correct Answer: High fiber diet; increased fluids and bulk laxatives intestinal obstruction - Correct Answer: Sudden or gradual blockage of the intestinal tract that prevents the normal passage of GI contents through the intestines. mechanical obstruction - Correct Answer: Blockage of the lumen by intrinsic or extrinsic lesion volvulus - Correct Answer: twisting of the bowel on itself, causing obstruction intussusception - Correct Answer: telescoping of the intestines nonmechanical obstruction - Correct Answer: Absence of peristalsis paralytic ileus - Correct Answer: complete absence of peristaltic movement that may follow abdominal surgery or complete bowel obstruction symptoms of obstruction - Correct Answer: Frequent high-pitched Bowel sounds, Sharp brief pains in the upper abdomen herniorrhaphy - Correct Answer: surgical repair of a hernia