Whose Abdomen is it Anyway?
A dietary order used to rest the bowel and decrease inflammation in a client with diverticulitis.
NPO or clear liquid Diet
This medication class is used during IBD flares to quickly reduce inflammation. It is NOT used long term due serious side effects.
What are corticosteroids?
Management of this symptom is necessary for patients to return to optimal level of functioning and prevent post-op complications.
What is pain assessment and managmement?
What does dailey monitoring of hemoglobin and hematocit assess.
What is bleeding?
A healthy stoma should appear this color due to a good blood supply?
What is pink or red?
A client presents with a rigid abdomen and severe pain. What does the nurse expect the provider to order to help reduce the risk of septic shock?
What are IV fluids and antibiotics?
This medication class works topically within the colon and has colonic release via administration oral or rectal routes.
5-ASA
This life threatening abdominal emergency often presents with a ridgid board like abdomen, severe rebound tenderness, fever and increased WBC. Signaling nurses to escalate care immediately,
What is peritonitis?
This lab value may have mild elevation in the first 48 hours after surgery due to the inflammatory reponse. A later an elevation may indicated infection or other complication.
What are WBCs?
This type of ostomy is created from the ileum and typically produces liquid to semi-liquid output
What is an ileostomy?
Derived from the Latin word meaning "mouth" or "opening" this root questions appears in terms describing surgically created openings, including colostomy and ileostomy.
What is "os"?
During a UC flare this nursing intervention helps to identify and even prevent deyhdration in a patient with frequent diarrhea.
Monitoring fluid and electrolytes, I and O
IBD client is receiving TPN via a central line. The central line is accidentally pulled out when the client uses the bathroom. This blood level should be monitored with any rate change with sudden TPN administration?
What is blood glucose?
A client has a NGT to low intermittent suction for a bowel obstruction. The nurse notices the tube suddenly stops draining. Before assuming its "possessed by the GI Gods" this priority action helps maintain patentcy and prevent complications.
What is checking NGT placement and irrigating the NGT?
The response from surgery may result in a decrease in this bodily fluid yet is considered normal if maintained at 30mls/hour.
What is urine output?
This closed suction drain is commonly compressed to create negative pressure after surgery.
What is a JP drain?
The nurse initates this when a client with appendicitis reports relief of severe abdominal pain followed by tachycardia and rigid abdomen.
What is preparing the client for emergent surgery?
This medication class used to suppress the number of stools should be used cautiously in clients with IBD. It can increase the risk of toxic mega colon.
What are antidiarrheals?
This lower GI study uses contrast to visualize the colon and may reveal strictures, fistulas and structural abnormalities. The nurse teaches the client that laxatives may be needed to prevent impaction.
What is Barium Enema?
A client is POD#2 for bowel resection. The client remains NPO with NGT to low suction in place. What abdominal nursing assessment abnormality is expected.
What is decrease or absent bowel sounds?
A sudden increase in bright red drainage from a surgical drain may indicate this complication.
What is bleeding or hemorrhage?
Crohn's can cause malabsorption, strictures and fistulas, the nurse often initiates this nutritional intervention.
What is a low-residue diet?
This class of medications helps to control clinical manifestations in crohn's but is ineffective in Ulcerative colitis
What is antibiotics?
A client with an acute IBD flare presents with abdominal pain, diarrhea and dehydration. The nurse identifies these top 3 interventions.
What are IV fluids, labs and bowel rest.
What nursing action when implemented early helps prevent DVT/PE?
What is early ambulation?
When emptying a JP drain, the nurse should perform this step first before compressing the bulb.
What is empty and measure the drainage?