Bowel Elimination

Question 1

Why do infants frequently regurgitate after feedings

Answer 1

esophagus muscle tone is not fully developed until 1 month

Question 2

Intussusception

Answer 2

when a proximal segment of the bowel telescopes into a more distal segment resulting in obstruction

Question 3

is intussusception acute or chronic

Answer 3

acute

Question 4

Complications of intussusception

Answer 4

edema, vascular compromise, bowel obstruction

Question 5

first sign of intussusception

Answer 5

sudden onset of severe abdominal pain that worsens with food

Question 6

describe stools in cases of intussusception

Answer 6

currant jelly with gross blood, hemoccult positive stools

Question 7

pattern of intussusception s/s

Answer 7

flare and regress

Question 8

what should palpation look for in intussusception

Answer 8

sausage-shaped mass in abdomen

Question 9

Diagnosis and common treatment of intussusception

Answer 9

air/barium enema

Question 10

Complication of air/barium enema

Answer 10

perforation

Question 11

Nursing management of intussusception

Answer 11

IV fluids, IV antibiotics, education

Question 12

All treatment options for intussusception

Answer 12

barium/air enema, surgical reduction, bowel resection if bowel necrosis is present

Question 13

Short bowel obstruction

Answer 13

nutrient malabsorption and excessive intestinal fluid and electrolyte losses

Question 14

Is short bowel obstruction acute or chronic

Answer 14

chronic

Question 15

Complications of small bowel obstruction

Answer 15

bacterial overgrowth, vitamin deficiency, poor intestinal motility

Question 16

Goal of treatment for small bowel obstruction

Answer 16

minimize bacterial overgrowth and maximize nutritional status

Question 17

Why are antidiarrheals used in treatment of small bowel obstruction

Answer 17

decrease stool output

Question 18

Feeding/diet for small bowel obstruction

Answer 18

TPN/lipids, slow progression to enteral feedings (watching intestinal response)

Question 19

Primary symptom of small bowel obstruction

Answer 19

diarrhea because intestinal contents are moving too quickly, causing a loss of certain enzymes

Question 20

What to look for with long term use of TPN/lipids

Answer 20

cholestasis through LFTs