Module 1 Flashcards
(196 cards)
Physical assessment findings for Crohn’s disease:
• Fever
• Diarrhea (Five loose stools, a day with mucus/pus)
• Distention 
• High pitched bowel sounds
• Steatorrhea
What disease has abdominal pain/cramping: often RLQ pain and Anorexia/ weight loss?
Crohn’s Disease
True or false hematocrit and hemoglobin are decreased in Crohn’s disease? 
True
List the diagnostic tests that can diagnose, ulcerative colitis:
• Sigmoidoscopy
• Colonoscopy
• Barium enema
• CT/MRI 
• Stool sample
Assessment findings for ulcerative colitis:
• Fever
• 15 to 20 liquid stools/day
• Mucus, Blood, or Pus in stools
• Distended abdomen
• High pitched bowel sounds
• Rectal bleeding
Name diseases that require yearly colonoscopies due to increased risk of cancer:
Ulcerative colitis & Crohn’s disease
Sulfasalazine is used to treat?
Crohn’s & Ulcerative colitis
Acute onset of LLQ pain, nausea/vomiting, fever, chills, tachycardia, and distention are manifestations of what disease?
Diverticulitis
A capsule endoscopy can be used to diagnose which IBD?
Crohn’s
Which IBD manifest with ulceration/inflammation of the sigmoid colon and rectum?
Ulcerative Cholitis
What is the treatment plan for treating severe diverticulitis?
•Make patient NPO
•Place an NG tube on suction
•IV fluids/ABX
•Opioids
What electrolyte needs to be closely, monitored and replaced with Ulcerative colitis and Crohn’s disease?
Potassium
List the different classes of drugs that can be used to treat ulcerative colitis, and Crohn’s:
• Sulfonamides
•Non-Sulfonamides
• Corticosteroids
• Immuno suppressants
• Immunomodulators
• Antidiarrheals
• Antimicrobials
Therapeutically treated with a colectomy or possible ileostomy?
Ulcerative colitis
This is a life-threatening inflammation of the peritoneum, in the lining of the abdominal cavity:
Peritonitis
What occurs due to the destruction of the bowel wall leading to an infection generally caused after surgery and procedures and the G.I.?
Abscess / Fistula formation
A nurse is reviewing the laboratory data of a client who has an acute exacerbation of Crohn’s deep seas, which of the following blood laboratory results. Should the nurse expect to be Elavated? SATA
•Hematocrit
• ESR(Erythrocyte sedimentation rate)*
• WBC*
• Folic acid
• Albumin
Name the condition that results from a massive dilation of the colon with perforation and the surgical procedure required?
Toxic Mega colon, Ileostomy
A nurse is assessing a client who has been taking prednisone falling in exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority?
• Client reports difficulty sleeping
• The clients urine is positive for glucose
• The client reports having elevated body temperature*
• The client reports gaining 4lbs in the last 6 months
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching?
• Take the medication 2hrs after eating
• Discontinue this medication if your skin turns yellow-orange
• Notify the provider if you experience a sore throat*
•Expect your stools to turn black
A nurse is completing discharge teaching with a client who has Crohn’s disease which of the following instructions should the nurse include in the teaching?
• Decrease intake of calorie-dense foods
•Drink, canned protein, supplements *
•Increase intake of high-fiber foods
•Eat high-residue foods
A nurse in the clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates an understanding of the teaching?
• I will plan to limit fiber in my diet*
• I will restrict fluid intake during meals
• I will switch to black tea instead of drinking coffee
• I will try to eat cold foods, rather than warm when my stomach feels upset
Inflammation of the gall bladder wall
Cholecystitis
Stones in the gallbladder
Cholelithiasis