CBL Quiz Week 7 Flashcards
Describe, in order, how food travels from the stomach to the anus. It exits the stomach:
then to the jejunum
1
then to the descending colon
2
then to the transverse colon
3
then to the ileum
4
then to the sigmoid colon
5
then to the ascending colon
6
then to the caecum
7
then to the duodenum
8
then to the rectum
9
then to the jejunum
7, 9, 3, 6, 5, 2, 1, 4, 8
The stomal therapy nurse explains that the procedure that maintains the most normal functioning of the bowel is
sigmoid colostomy
What is a common characteristic of DKA and who does it mainly affect?
ketones present in urine, mainly T1DM due to lack of insulin
A patient is 8 hours post-opt from an colostomy placement. Which finding requires immediate nursing action?
a. The stoma is swollen and large b. The stoma is not draining any stool c. The patient states the site is tender d. The stoma is pale
d since this means there is not adequate blood flow if any
A 36-year-old male is newly diagnosed with Type 2 diabetes. Which of the following treatments do you expect the patient to be started on initially?
diet and exercise
The nurse is caring for a patient with a colostomy who explains that he makes small pin holes in the drainage bag to help expel gas. The nurse should teach him that this action:
destroys the odour proof seal
You are caring for a patient with a stoma on the right side of the abdomen. This location indicates the stoma is most likely to be:
ileostomy
True or False? A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy is the opening on the client’s right side
true
The doctor orders a HbA1c blood test. This test reflects an average blood glucose over:
3 months
Your patient has an ileostomy. What type of stool would you expect the stoma to be excreting?
liquid
Traffic police pulled over a motorist who appeared to be drunk, but actually had low blood glucose. Impaired awareness of hypoglycaemia (IAH) was diagnosed. What does this refer to?
gradual loss of hypoglycaemic symptoms due to repeated episodes of low BGL, diminishes ability to recognise symptoms and take action
True or False: A colostomy is a surgical opening created to bring the small intestine to the surface of the abdomen
False, large intestine
Mavis has Type 2 diabetes and increased her daily walking which resulted in a 10 kg weight loss over six months. What change has this probably caused?
increase in insulin sensitivity
Type 1 diabetics on initial diagnosis, typically have the following clinical characteristics:
thing, young with ketonuria
Symptoms of hyperglycaemia?
BGL >12mmols/L, polyuria, glycosuria, extreme thirst
A teenager with Type 1 diabetes is about to play a game of soccer with his school team. He checks his blood glucose (BGL) and finds it is 20.5 mmol/l for no apparent reason. A second check confirms a similar result. What should he do?
Check for ketones. If negative, drink some water, take half of his usual correction dose of insulin and go play. If positive for ketones, drink plenty of water, take insulin, and do not play.
You’re providing diet teaching to a patient with an ileostomy. Which foods should the patient consume in very small amounts or completely avoid?
corn, popcorn, nut, seeds
A patient with diabetes has a pre-breakfast blood glucose level of 2.8 mmols/L. The patient is sweaty, cold, and clammy. Which of the following nursing interventions is the MOST important initially?
give pt 150mls orange juice
The nurse is assessing a stoma and recognises that it is prolapse if which of the following is evident?
protruding stoma with swollen appearance
