Chap 35- Altered Bowel FUnction & DIagnostic Tests

Question 1

pt with holds BM bc its painful;

Answer 1

functional constipation

Question 2

hard firm stool difficult to pass due to slow motility

Answer 2

slow transit constipation

Question 3

the accumulation of hardened feces in the rectum.

Answer 3

fecal impaction

Question 4

When can a nurse expect a pt to have fecal impaction?

Answer 4

history or absence of a regular BM 3 to 5 days or more) followed by the passage of liquid or semiliquid stool

Question 5

S&S of fecal impaction

Answer 5

Distention
N&V
Loss of appetite
Bloating

Question 6

frequent evacuation of watery stools

Answer 6

Diarrhea , associated w/ increased gastrointestinal motility

Question 7

diarrhea induced by abx use

Answer 7

C. Diff

Question 8

the involuntary passing of bowel contents and is often associated with neurologic, mental, or emotional impairments.

Answer 8

Fecal incontinence

Question 9

accumulation of gas in the GI tract

Answer 9

flatulence

Question 10

Physical assessment of Bowels GI Syx

Answer 10

Inspection.
Auscultation
Palpation
Percusss

Question 11

How to perform auscultation of bowels

Answer 11

Listen to each quadrant for 30 seconds

Question 12

You cannot say a pt has no bowel sounds UNLESS

Answer 12

You listened to bowel for 2 full mins

Question 13

Purpose of measuring abdominal girth

Answer 13

TO check improvement of pt w/ distention, gas accumulation, etc

Question 14

Blank

Answer 14

Blank

Question 15

a life-threatening condition that occurs when the peritoneum, the tissue that lines the abdomen, becomes inflamed or infected:

Answer 15

peritonitis

Question 16

Lab tests for stool

Answer 16

Fecal Occult Blood Test (FOBT) aka Heme or Occult test

Stool Culture

Question 17

test evaluates stool for blood that is not apparent upon visual examination.

Answer 17

FOBT- should be done 3x/day from 3 separate bowel specimens

Question 18

test for specific infectious organisms in stool

Answer 18

Stool culture

Question 19

Avoid these things 3 days prior to FOBT

Answer 19

ASA
NSAIDs
Steroids
Red Meats
Vitamin C

Question 20

X ray of upper GI tract aka a barium swallow

Answer 20

Upper GI series

Question 21

Given for visualization of lower GI tract

Answer 21

Barium enema

Question 22

endoscopic procedure where tube is inserted in mouth to view the esophagus, stomach, and duodenum

Answer 22

EGD- Esophagogastroduodenoscopy- tests for inflammation, ulcers, tumors. H. Pylori

Question 23

endoscopic procedure that can visualize the colon up to the ileocecal valve; tube inserted thru rectum

Answer 23

Colonoscopy

Question 24

What should their never be post endoscopic procedure?

Answer 24

Blood or Pain

Question 25

Risks post endscopic procedure include

Answer 25

Perforation resulting in peritonitis

Question 26

procedure that examines the rectum and sigmoid colon w/ scope in rectum

Answer 26

Sigmoidoscopy