GI Part 4

Question 1

nursing role with colostomies

Answer 1

Apply pouch system
Assess stoma. Should appear pink and moist.
Nurse reports any of the following:
Signs of ischemia?
Unusual bleeding
Mucocutaneous separation
Signs of leakage

Question 2

the most common cause of mechanical obstruction.

Answer 2

adhesion

Question 3

bowel is physically obstructed by adhesions, tumors

Answer 3

mechanical obstruction

Question 4

paralytic ileus or adynamic ileus, neuromuscular disturbance- slow movement or backup

Answer 4

nonmechanical obstruction

Question 5

when does metabolic acidosis occur

Answer 5

occurs with the loss of alkaline fluids

Question 6

the release of endotoxins in an intestinal obstruction can cause what

Answer 6

Bacterial peritonitis and septic shock

Question 7

telescoping bowel and volvulus- twisting of the bowel

Answer 7

Intussusception

Question 8

decreased peristalsis from trauma, toxin or autonomic, can result from surgery, MI’s, rib fracture, pneumonia, peritonitis and vascular insufficiency from heart failure or shock

Answer 8

paralytic ileus

Question 9

assessment of intestinal obstruction

Answer 9

History of symptoms and occurrence
Abdominal pain and cramping
Obstipation, vomiting with brown and foul smelling
Borborygni above the obstruction, then absent
Abdominal distention and tympanic abdomen
Abdominal films and CT of abdomen
WBC elevated in some cases

Question 10

why are opioids not given for intestinal obstruction pain

Answer 10

mask pain and peritonitis

Question 11

nonsurgical management of intestinal obstruction

Answer 11

Nasointestinal tubes,