Galen NUR 242 Exam 3 STREB Notes Latest Actual Exam (180 QUESTIONS AND CORRECT ANSWERS) (WITH DETAILED ANSWERS) GRADED A+

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) (May be described as substernal burning moving up and down the chest) GERD pain usually develops within 30-60 minutes after meals Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are having an MI GERD symptoms are exacerbated when lying down flat or bending over GERD regurgitation may lead to Aspiration or bronchitis These patients are at risk of aspirating when lying flat Symptoms of GERD include Coughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.