NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
1. what is a chronic functional disorder char- Irritable Bowel Syndrome (IBS)
acterized by recurrent abdominal pain
associated with disordered bowel move-
ments, which may include diarrhea, con-
stipation, or both, without an identifiable
cause
2. alteration in bowel elimination, abdominal IBS
distention, pain and bloating, absence of
detectable organic disease areS/S for what
3. criteria for IBS diagnosis Rome IV criteria: define IBS as recurrent ab-
dominal pain occurring at least once daily
during the last 3 months, associated with
two or more of the following
Bristol Stool Form Scale: helps determine
category of IBS
Definite diagnosis of IBS also necessitates
testing to confirm the absence of structural
or other disorders via CBC, serologic testing,
stool studies, and colonoscopy
4. Bristol Stool Chart
5. IBS diagnostic classification chart
, NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
6. What is a low FODMAP diets and what con- IBS
dition is it often used to treat?
Fermentable Oligosaccharides (wheat, rye,
asparagus, legume, garlic, onion)
Disaccharides (lactose- milk yogurt)
Monosaccharides (fructose- honey, agave,
figs, mangos)
And
Polyols (blackberries, lychee, and low-calo-
rie sweeteners)
7. client education/nursing intervention for good dietary choices
IBS smoking and alcohol cessation
sleep hygiene
no liquids while eating (too much air)
8. what is a disorder of malabsorption celiacs
caused by an autoimmune response to
consumption of products that contain the
protein gluten.
9. GI symptoms—diarrhea, steatorrhea, ab- celiacs
dominal pain, abdominal distention, flatu-
lence, and weight loss.
Non-GI symptoms—fatigue, general
malaise, depression, hypothyroidism, mi-
, NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
graine headaches, osteopenia, anemia,
seizures, paresthesias in the hands and
feet, and a red, shiny tongue.
10. diagnostics for celiacs Comprehensive assessment for S/S 7 family
Hx/ risk factor assessment
Serologic tests & endoscopic biopsy for de-
finitive Dx
Pt must continue to consume gluten during
testing
11. client education/nursing interventions for Education on avoiding gluten in diet
celiacs Understanding that if gluten free items are
prepared in the same area as gluten items
they can be contaminated
Some non-food items also contain gluten
(toothpastes, cosmetics, art supplies, etc)
12. inflammation of appendix caused by ob- appendicitis
struction of the appendiceal lumen pro-
ducing a closed loop with resultant inflam-
mation that can lead to necrosis and per-
foration
13. key s/s of appendicitis positive Rovsing's sign (tenderness at
mcburney's point)- pain in RLQ
14. Complications of appendicitis Perforation and peritonitis
- if suspect, preoperative antibiotics
perf will have be immediate pain relief
15.
, NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
what are the three types of diverticular diverticulum
disease diverticulosis
diverticulitis
16. saclike herniation of the lining of the bow- diverticulum
el that extends through a defect in the
muscle layer
17. presence of multiple diverticula without diverticulosis
inflammation or symptoms
18. inflammation of one or more diverticula diverticulitis
and is a common reason for elective colec-
tomy
19. s/s of diverticular disease -chronic constipation
-bowel irregularities
o Diverticulitis—mild to severe cramping in
LLQ with change in bowel habits, bloating,
nausea, fever, & leukocytosis
o If abcess develops—tenderness, palpa-
ble mass, fever, leukocytosis, and possibly
rectal bleeding
o If recurrent, fistulas may form
o With repeated inflammation colon nar-
rows leading to cramps, narrow stool, in-
creased constipation, & intestinal obstruc-
tion
20. what scale is used to stage diverticulitis modified Hinchey classification
Study online at https://quizlet.com/_dba5cq
1. what is a chronic functional disorder char- Irritable Bowel Syndrome (IBS)
acterized by recurrent abdominal pain
associated with disordered bowel move-
ments, which may include diarrhea, con-
stipation, or both, without an identifiable
cause
2. alteration in bowel elimination, abdominal IBS
distention, pain and bloating, absence of
detectable organic disease areS/S for what
3. criteria for IBS diagnosis Rome IV criteria: define IBS as recurrent ab-
dominal pain occurring at least once daily
during the last 3 months, associated with
two or more of the following
Bristol Stool Form Scale: helps determine
category of IBS
Definite diagnosis of IBS also necessitates
testing to confirm the absence of structural
or other disorders via CBC, serologic testing,
stool studies, and colonoscopy
4. Bristol Stool Chart
5. IBS diagnostic classification chart
, NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
6. What is a low FODMAP diets and what con- IBS
dition is it often used to treat?
Fermentable Oligosaccharides (wheat, rye,
asparagus, legume, garlic, onion)
Disaccharides (lactose- milk yogurt)
Monosaccharides (fructose- honey, agave,
figs, mangos)
And
Polyols (blackberries, lychee, and low-calo-
rie sweeteners)
7. client education/nursing intervention for good dietary choices
IBS smoking and alcohol cessation
sleep hygiene
no liquids while eating (too much air)
8. what is a disorder of malabsorption celiacs
caused by an autoimmune response to
consumption of products that contain the
protein gluten.
9. GI symptoms—diarrhea, steatorrhea, ab- celiacs
dominal pain, abdominal distention, flatu-
lence, and weight loss.
Non-GI symptoms—fatigue, general
malaise, depression, hypothyroidism, mi-
, NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
graine headaches, osteopenia, anemia,
seizures, paresthesias in the hands and
feet, and a red, shiny tongue.
10. diagnostics for celiacs Comprehensive assessment for S/S 7 family
Hx/ risk factor assessment
Serologic tests & endoscopic biopsy for de-
finitive Dx
Pt must continue to consume gluten during
testing
11. client education/nursing interventions for Education on avoiding gluten in diet
celiacs Understanding that if gluten free items are
prepared in the same area as gluten items
they can be contaminated
Some non-food items also contain gluten
(toothpastes, cosmetics, art supplies, etc)
12. inflammation of appendix caused by ob- appendicitis
struction of the appendiceal lumen pro-
ducing a closed loop with resultant inflam-
mation that can lead to necrosis and per-
foration
13. key s/s of appendicitis positive Rovsing's sign (tenderness at
mcburney's point)- pain in RLQ
14. Complications of appendicitis Perforation and peritonitis
- if suspect, preoperative antibiotics
perf will have be immediate pain relief
15.
, NURA 408 Exam 1
Study online at https://quizlet.com/_dba5cq
what are the three types of diverticular diverticulum
disease diverticulosis
diverticulitis
16. saclike herniation of the lining of the bow- diverticulum
el that extends through a defect in the
muscle layer
17. presence of multiple diverticula without diverticulosis
inflammation or symptoms
18. inflammation of one or more diverticula diverticulitis
and is a common reason for elective colec-
tomy
19. s/s of diverticular disease -chronic constipation
-bowel irregularities
o Diverticulitis—mild to severe cramping in
LLQ with change in bowel habits, bloating,
nausea, fever, & leukocytosis
o If abcess develops—tenderness, palpa-
ble mass, fever, leukocytosis, and possibly
rectal bleeding
o If recurrent, fistulas may form
o With repeated inflammation colon nar-
rows leading to cramps, narrow stool, in-
creased constipation, & intestinal obstruc-
tion
20. what scale is used to stage diverticulitis modified Hinchey classification
