Diagnostics
Diarrhea
Constipation/ Fecal Incontinence
Peritonitis/
Hemorrhoids
Intestional Obstruction/ Diverticular Disease
100
Two teaching points in prep for Barium Enema?
*Complete emptying of bowel day before, *Clear Liq day before, *NPO night before
100
How must hands be cleaned after contact with patient with C diff?
soap and water
100
What is normal time range for bowel movements?
three times/day to every three days.
100
The pain felt upon release of abdominal palpation.
Rebound tenderness
100
Lack of intestinal peristalsis. A normal finding after abdominal surgery.
Paralytic ileus
200
Two Post Nursing Care teaching points for Barium Enema:
*increase fluids, *Stool will be chalky X 1-3 days, *May use laxatives to assist clearing,
200
This type of antidiarrheal causes decreased bowel motility and increased absorption of fluid from stool
opioids and opioid derivatives
200
Two treatments for fecal incontinence:
*bulking agents/ fiber, *antidiarrheal agents *Increase fluids, *fecal disimpaction, *biofeedback, *Kegels *Bowel training program *Solesta injection
200
Three symptoms of hemorrhoids.
rectal bleeding, pruritis, pain, prolapse
200
A patient with acute diverticulitis should eat this type of diet.
No diet! NPO to let colon rest
300
Three things a stool sample might be tested for:
occult blood, ova, parsites, culture
300
Three things to ask in history of patient with diarrhea.
* Stool description and pattern * Foreign Travel, * New foods or meds, * Recent hospitalization, * Stress, * Family/friends ill
300
What is the mechanism by which constipation can cause fecal incontinence?
Constipation leads to straining -> weakens pelvic floor -> incontinence
300
Four causes of peritonitis.
*cirrhoisis with ascites, *rupture of abdominal organ, *peritoneal dialysis, *gunshot & knife wounds
300
Most common type of small bowel obstruction.
Surgical adhesions
400
Two teaching points for post Endoscopy:
* Must have ride home (sedation), * may have cramping s/t air injected into bowel
400
Class of antidiarrheal that causes decreased secretions and provides a protective coating:
Bismuth Subsalicylates: Pepto-Bismol, Kaopectate
400
How long does it take for a stool softener to act?
72 hours
400
Predisposing conditions to hemorrhoids.
*Pregnancy, *Prolonged constipation, *Straining in defecation, *Heavy lifting, *Prolonged standing or sitting *Portal hypertension (cirrhosis)
400
Where in the GI tract is diverticular disease most likely to occur?
Sigmoid colon
500
The difference between a laparotomy and laparoscopy.
Laparatomy : open surgery, Laparoscopy: endoscopy and light via slit in abdominal wall
500
Five nursing care interventions for patient with diarrhea.
*avoid causative agent *increase fluids (IV or Gatoraid), *strict infection control, *ready access to BSC, *good skin care & use or protectants, *no solids X 24 hours, *reintroduce foods slowly
500
Five patient teaching points for constipation.
* ↑ fiber, * ↑ fluids, * exercise regularly, * don't delay defication, * avoid laxatives/enemas *optimal position
500
What are the two priority areas for assessment for  a patient with peritonitis?
pain, s/s of shock
500
Four teaching points for diverticulosis.
*high fiber, *decrease fat & red meat, *weight reduction, *↑ activity, *avoid ↑intrabdominal pressure
M
e
n
u