Galen NUR 242 Exam 3 STREB Notes Latest Actual Exam
(180 QUESTIONS AND CORRECT ANSWERS) (WITH
DETAILED ANSWERS) GRADED A+
Surgery may be needed to relieve the obstruction if
gastric decompression does not relieve the symptoms, or if there are signs of bowel necrosis. The type
of surgery will depend on the type and area of obstruction and may include intestinal resection with
an anastomosis or creation of an ileostomy or colostomy
If the small bowel obstruction is complete, the peristaltic waves become quite vigorous, assuming
revers direction, propelling intestinal contents toward the mouth rather than the rectum
Small bowel obstruction patient vomits
stomach contents first, then the bilious contents of the duodenum, and finally the fecal contents of
the ileum
A distended abdomen, a bloated sensation, and altered bowel sounds may indicate a
small bowel obstruction.
Patients with Ileostomy who develop distention and cramping should apply
warm, moist towels to abdomen or lightly massage abdomen
In large bowel obstructionWhat may be the only symptom for several days?
constipation
,In large bowel obstruction Barium enema may be ordered to reveal
a distended, air-filled colon. Monitor the patient for bowel movement after a barium enema
Patients with large bowel obstructions may experience intermittent persistent
lower abdominal cramping. Severe pain may result from strangulation or bowel perforation
When the appendix becomes inflamed and fills with pus it is called
Appendicitis
Obstruction of the appendiceal lumen causes
appendicitis
If left untreated, an inflamed appendix will eventually
burst, or perforate, spilling infectious materials into the abdominal cavity. This can lead to peritonitis,
a serious inflammation of the peritoneum that can be fatal unless it is treated quickly with strong
antibiotics
The classic symptom of appendicitis is
abdominal pain. Pain becomes sharper over several hours and worsens with coughing, walking or
other jarring movements.
, A sharp pain is felt in the lower right abdomen (RLQ) when the area is pressed on and then the pressure
is quickly released. this is known as
rebound tenderness. Pain is relieved by bending the knees
Peritonitis results from
contamination of a normal sterile peritoneal cavity with bacteria or chemical irritant
Peritonitis: classically the patient will have an acute abdomen with abrupt onset of diffuse,
severe abdominal pain
GERD Risk factors include
Consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes.
Lifestyle factors play a big part especially alcohol and smoking.
GERD the nursing assessment should include
asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on
the patient and the severity of the disorder
GERD most common symptoms
-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(180 QUESTIONS AND CORRECT ANSWERS) (WITH
DETAILED ANSWERS) GRADED A+
Surgery may be needed to relieve the obstruction if
gastric decompression does not relieve the symptoms, or if there are signs of bowel necrosis. The type
of surgery will depend on the type and area of obstruction and may include intestinal resection with
an anastomosis or creation of an ileostomy or colostomy
If the small bowel obstruction is complete, the peristaltic waves become quite vigorous, assuming
revers direction, propelling intestinal contents toward the mouth rather than the rectum
Small bowel obstruction patient vomits
stomach contents first, then the bilious contents of the duodenum, and finally the fecal contents of
the ileum
A distended abdomen, a bloated sensation, and altered bowel sounds may indicate a
small bowel obstruction.
Patients with Ileostomy who develop distention and cramping should apply
warm, moist towels to abdomen or lightly massage abdomen
In large bowel obstructionWhat may be the only symptom for several days?
constipation
,In large bowel obstruction Barium enema may be ordered to reveal
a distended, air-filled colon. Monitor the patient for bowel movement after a barium enema
Patients with large bowel obstructions may experience intermittent persistent
lower abdominal cramping. Severe pain may result from strangulation or bowel perforation
When the appendix becomes inflamed and fills with pus it is called
Appendicitis
Obstruction of the appendiceal lumen causes
appendicitis
If left untreated, an inflamed appendix will eventually
burst, or perforate, spilling infectious materials into the abdominal cavity. This can lead to peritonitis,
a serious inflammation of the peritoneum that can be fatal unless it is treated quickly with strong
antibiotics
The classic symptom of appendicitis is
abdominal pain. Pain becomes sharper over several hours and worsens with coughing, walking or
other jarring movements.
, A sharp pain is felt in the lower right abdomen (RLQ) when the area is pressed on and then the pressure
is quickly released. this is known as
rebound tenderness. Pain is relieved by bending the knees
Peritonitis results from
contamination of a normal sterile peritoneal cavity with bacteria or chemical irritant
Peritonitis: classically the patient will have an acute abdomen with abrupt onset of diffuse,
severe abdominal pain
GERD Risk factors include
Consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes.
Lifestyle factors play a big part especially alcohol and smoking.
GERD the nursing assessment should include
asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on
the patient and the severity of the disorder
GERD most common symptoms
-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
