Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 1345 > (Non)/Inflammatory Bowel Diseases > Flashcards

(Non)/Inflammatory Bowel Diseases Flashcards

1
Q

A bowel obstruction will cause

Decreased

Peristalsis, secretions, distention

T or F

A

F

These will increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hypovolemia from a bowel obstruction will directly cause these two problems

A

Acute kidney injury

Shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A stricture is…

Comply found in crohns or with radiation

A

Narrowing of the bowels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Small & large bowel obstructions

Colorectal cancer

IBS

HERNIA

Hemorrhoids

Are all examples of…

A

Non-inflammatory bowel disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

With a bowel obstruction why does fluid leak into the peritoneal cavity

A

The bowel becomes edematous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe Volvulus

A

A twisting of the bowel

Strangulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe Intussusception

A

Telescopic bowel movement going inside self

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Non mechanical bowel obstruction

Post op….

Vascular insufficiency is called….

A

Paralytic ileus

Bowel ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Vascular insufficiency can progress to

Bowel infraction, gangrene, sepsis, ….

A

Shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Small or Large bowel obstruction

Upper/middle abdominal pain

A

Small bowel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Small or Large bowel obstruction

Intermittent lower ab cramping

A

Large

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Small or Large bowel obstruction

Possible peristalsic waves

A

Small

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Small or Large bowel obstruction

Upper or epigastric distention

Vs

Lower abdominal distention

A

Small: Upper or epigastric distention

Large: Lower abdominal distention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Small or Large bowel

Nausea and early, profuse vomiting

A

Small

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Small or Large bowel obstruction

Obstipation

Vs

Obstipation/ Ribbon-like stools

A

Small: Obstipation

Large: Obstipation/ Ribbon like stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Small or Large bowel obstruction

Severe fluid & electrolyte imbalance

Vs

No major fluid/electrolyte imbalance

A

Small: Severe

Large: No major

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Small or Large bowel obstruction

Metabolic Alkalosis

Vs

Metabolic acidosis

A

Small: Alkalosis

Large: Acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Reread preop cards

A

Good idea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Small Bowel obstruction causes dehydration

Describe the following labs

WBC:
K / NA
Hgt/ Hct

Metabolic (Acidosis/ Alkalosis)

A

WBC: elevated with strangulation
K / NA : K (down) NA (down)
Hgt / Hct: both elevated

Metabolic Alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Posistion for NG tube

A

Semi fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Alvimopan is used in hospital settings only for what?

A

To block the stomach opoid receptors and recover bowel movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Metoclopramide may cause you to develop a muscle problem called tardive dyskinesia.

A

Muscles in your face in unusual ways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Metoclopramide speeds up the movement of the bowels

It also

A

Relieve heartburn
Speed the healing of ulcers and sores in the esophagus GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Assess NG tube every ___ hours

Placement (aspirate)
Tube patency
Output

Assess for peristalsis sounds how?

A

Turn off suction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Exploratory laparotomy
(Explores for obstruction)

May perform ____ of adhesions
Tumor or diverticulitis may require…

May requiere Embolectomy, thrombectomy, or resection for….

A

Lysis

Colon resection

Intestinal infraction: gangrene of the bowels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Med management for Post Ab op

Oral opoid analgésico + laxative with stool softener

Name laxative + stool softener

A

Docusate + senna

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Colorectal cancer screening
Age >45 w/ history

____ yearly
_____ every 5 years
_____ every 10 years

A

Fecal Occult blood test

Sigmoidscopy or CT colongraph

Colonoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

CEA is….

Normal levels

A

Carcinoembryonic antigen

Protein found in the blood of adults at very low levels

0 –2.5 nanograms per milliliter (ng/mL). NORMAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The Ileo-Anal Pullthrough Procedure, (also known as the Ileal Pouch Anal Anastomosis procedure or IPAA) is….

Which diseases

What does the process consist of…

A

Operation teatment of UC or familial polyposis

IPAA cures these diseases by removing the diseased large bowel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Abdominoperineal resection (APR) is a surgical procedure that…

Ostomy?

A

removes the anus, rectum, and part of the sigmoid colon to treat certain types of cancer, such as rectal cancer. The procedure involves creating a permanent opening (colostomy) in the abdominal wall for the elimination of waste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Colostomies - which side?

Ascending Colostomy

A

Right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Colostomies - which side?

Transverse

A

No side

Double stoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Colostomies - which side?

Descending Colostomy

A

Left sided tumor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Colostomies - which side?

Sigmoid

A

“Left side”

Done for rectal tumora

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Bleeding ulcers is found in this inflammatory bowel disease

A

UC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Difference between Colostomy & ileostomy is…

A

Colostomy is large intestine

Ileostomy is small intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Describe type of feces found in

Colostomy

Ileostomy

A

Colostomy= firm / Brown

Ileostomy = soft / Yellow Green

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Ileostomy is found in this Quadrant

Colostomy…

A

Ileostomy = RLQ

Colostomy = LUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Most frequent complications for immediate post op Ileostomy

A

Fluid & Electrolyte imbalance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Stoma appearance assessment

Post surg

Long term

A

Post: Red Beefy

Long term: Pink

Moist & Shiny

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Discoloration of stoma is an immediate notify HCP

T or F

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Colostomy Post opp

Avoid which kinds of foods for first 4 - 6 weeks

A

High fiber, Hard to digest, Gassy Foods

No
Broccoli/ Cauliflower
Beans
Multigrain bread
Eggs, Dairy

Popcorn
Seeds / nuts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Fluid intake post colostomy

A

3,000 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Irrigate with (Ileostomy/ colostomy)

Use .5 - 1L of warm tap water

Place bag above ostomy

A

Colostomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Empty colostomy when

A

1/3rd full

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Abdominal obstruction is diagnosed how?

If obstructed

NPO?

NG tube why

A

CT w/ contrast

NPO Yes

NG tube to decompress stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Nursing intervention for colostomy

Check… (3) levels

A

I & O

Electrolyte levels

Acid-Base balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Most important teaching you can give a new stoma receptient

A

Monitor stoma for healthy red / pink color.

Moist and shiny

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

How big to cut the ostomy wafer in relation to the stoma size?

A

No more than 1/8 bigger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Abdominal/ Pelvic surgery
Peritonitis
Ab / Pelvic infections
Endometriosis

Are all main causes of

A

Adhesion

Which cause bowel blockage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Double Lumen Salem Sump NG tube is used for

A

Decompression

52
Q

Small bore single Lumen tube DobHoff is used for…

A

NG. Meds and feeds

53
Q

IBS

Women or men

A

Women

54
Q

An erythrocyte sedimentation rate (ESR) test, also known as a sed rate test, measures how far red blood cells settle in a test tube in one hour.

Used to measure

A

Inflammation in the body

Used to IBS test

55
Q

A hydrogen breath test is used to…

A

detect bacterial overgrowth in the small intestine, carbohydrate malabsorption, and how quickly food passes through the small intestine

56
Q

IBS health teachings

____ fiber daily

___ glasses of water

A

30 - 40

8 -10

57
Q

Psyllium hydrophilic mucilloid

Lubiprostone

Linoclotide

Are used for this IBS…

A

IBS-C

Constipation

Psyllium hydrophilic mucilloid
(Used for both Constipation & Diarrhea)

58
Q

Adenocarcinoma from polyps is most common cause of…

A

Colorectal cancer

Highly treatable if caught early

59
Q

Crohns, UC, diverticulitis, cancer or obstruction are all valid reasons to have a colostomy

T or F

A

T

60
Q

Colostomy locations

Descending:
Ascending:
Transverse:
Sigmoid:

A

Descending: Left upper
Ascending: Right
Transverse: Middle Abdominal
Sigmoid: Left Lower

61
Q

Double barrel stomas function

Proximal

Distal

A

Proximal: Functional Connected to GI tract Drains Stool

Distal: Mucus

62
Q

This ostomy is locat3d in the right lower quadrant

A

Ileostomy

63
Q

Immediate post op

Stoma is large, swollen and beefy red

What should be the nurses reaction

A

Nothing

Normal finding

64
Q

Stool consistency

Ascending

Transverse

Descending

A

Ascending: Liquid

Transverse: Lose to partially formed

Descending/ Sigmoid: Formed

65
Q

Irrigation is done with these types of colostomies

A

Descending/ Sigmoid

66
Q

Change entire colostomy pouching system how often.

Which time of day?

A

3 - 5 days

Morning before breakfast

67
Q

Why don’t you give enteric-coated / sustained release medication to colostomy patients

A

Won’t desolve properly

NEVER CRUSH

68
Q

Best way to clean a stoma

A

Water possible mild soap

69
Q

Loperamide (Immodium)

Alosetron (SSRI)

Psyllium

Antibiotic

Rifaximin

This type of IBS

A

Ibs D

70
Q

Linoclotide has this Black Box warninf

A

Serious risk dehydration in children

Linaclotide: Treat IBS w/ constipation & chronic constipation

71
Q

Bowel sounds in chest area is this disease

A

Hiatal hernia

72
Q

Management of Hiatal Hernia is similar to this disease

A

GERD

No lay down 1 hr after eating

Small, frequent meals

HOB elevated

73
Q

Avoid these medications with GERD / HH

A

Anticholinergic

Delay gastric emptying

74
Q

Client is having x rays for upper gi tract. Which should they do post op?

Take laxative

Follow clear diet

Admin enema

Take antimetic

A

Laxative

Due to taking Barrium which must be eliminated quickly

75
Q

______ is another common type of hernia that you acquire during your lifetime. It happens when the small intestine pushes through the abdominal wall

A

A hiatal hernia

76
Q

An ( direct/indirect) inguinal hernia is the most common type that usually happens in premature births

whereas a (direct/ indirect) inguinal hernia happens mostly in adults and increases with their age

A

An indirect inguinal hernia is the most common type that usually happens in premature births

whereas a direct inguinal hernia happens mostly in adults and increases with their age

77
Q

It passes thorugh the inguinal canal.

It bulges from the posterior wall of inguinal canal.

Direct vs indirect

A

InDirect / Direct

78
Q

Descends into the scrotum

Doesn’t descend into scrotum area

A

Indirect / Direct

79
Q

This defect id not palpable as it lies behind the fibersof external oblique muscles of abdomen.

Here, the defect is palpable as it lies in the abdominal wall, right above pubic tubercle.

Direct vs Indirect

A

Indirect / direct

80
Q

Commonly see in children and young adults

Mostly occurs in old age

A

Indirect / direct

81
Q

femoral hernia is a protrusion of a loop of the _____ through a weakened ______, located in the lower abdomen near the thigh

A

intestine / abdominal wall

82
Q

Ventral hernias usually happen how?

A

From surgery

83
Q

Hernia

Reducible

Irreducible

Strangulates

A

Reducible: can be pushed back inside

Irreducible: cannot be pushed back inside

Strangulated: serious medical emergency

84
Q

For a nurse to assess a hernia ask the patient to perform the Valsalva maneuver and watch for bulging

T or F

A

F

Only PCP can do this

85
Q

Non surgical intervention for inguinal hernia

A

Truss. Belt with hardened pad

86
Q

Herniorrhaphy / hernioplasty is…

A

Ambulatory procedure to correct hernias

Most are inguinal

87
Q

Prevent Constipation
No heavy lifting/ straining
Fluid increase 1500- 2500
Avoid cough

For …

A

Hernia surgery

88
Q

Docusate is….

A

Stool softener

89
Q

1st post po bowel movement has this nursing precaution

A

Monitor patient while in bathroom

May have a vasovagal response and passout (syncope)

90
Q

What do

Peritonitis
Appendicitis
Gastroenteritis
UC
Crohns
Diverticulitis

Have in common

A

All inflammatory bowel disorders

91
Q

Life-threatening acute inflammation and infection of the lining of the abdominal cavity

A

Peritonitis

92
Q

Perforation from appendicitis

Penetraiting wounds

Ascending infection of genital tract

Can cause this serious problem

A

Peritonitis

93
Q

Hallmark S/S of appendicitis is

A

Right lower quad pain @ Mcburney’s Point

94
Q

Appendicitis happens when

A

The opening of the appendix becomes blocked

Inflammation/ Ischemia

95
Q

Type of tenderness associated with appendicitis

A

Rebound tenderness

96
Q

Diagnosis appendicitis how

A

CT scan

97
Q

Appendectomy can normally be preformed how?

If appendix burst?

A

Laparoscopicly

Open surgery

98
Q

If a patient has sever right lower quadrant pain that suddenly goes away, What could be the reason

A

Appendix ruptured

99
Q

When is an intra-abdomonal lavage done?

A

When an organ ruptures to clean out the area

100
Q

N/V 1st before ab pain maybe (appendicitis/ gastroenteritis)

Ab pain first then N/V maybe (appendicitis/ gastroenteritis)

A

N/V 1st before ab pain maybe Gastroenteritis

Ab pain first then N/V maybe Appendicitis

101
Q

In appendicitis a WBC >20,000 =

A

Perforación

102
Q

Mcburney’s point is located

A

Between Umbilicus & Anterior illiac crest

103
Q

Heating pads are the first intervention a nurse should attempt with a suspected appendicitis

A

False

This will improve blood flow and worsen the problem

104
Q

Gastroenteritis is commonly causes by…

A

Fecal-Oral transmission
Norovirus (food born)

November- April

105
Q

Can Gastroenteritis causes by Norovirus become airborne ?

A

Yes via vomiting

106
Q

Why would a person with Gastroenteritis have Cardiac Dysthymia

A

Loss of K from vomiting

107
Q

S/S
Colicky(severe) Lower ab pain
Tenesmus (feel like gotta poop, but you dont)

Family History
Recently exposed to antibiotics
NSAID use (flare ups)

A

UC

108
Q

A raise in erythrocte sedimentation rate is a clue that this disease is possible

A

UC

109
Q

UC will do this to electrolyte levels

A

Lower from diarrhea

110
Q

MRE

fast 4 - 6 hrs
Drink contrast medium
Glucagon SubQ to slow bowel activity

A

UC

111
Q

Fulminant UC consists of

A

> 10 bloody bowle movements daily

Anemic

112
Q

Sulfasalazine (GI anti inflammatory)
Corticosteroids (-one)
Cyclosporine (Immunesuppressant)
Anti-diarrheal with caution

Used to treat

A

UC

113
Q

Why can Crohns disease cause Fistulas and UC not?

A

Crohns affects all layers of the GI tract not only the mucosa. Making fistula formation more likely

114
Q

Aminosaliclates

Sulfasalazine

Mesalamine

Do what

A

Reduce inflammation in GI tract

115
Q

Glucocortidicoids

Prednisone
Budesonide
Suppositories or retention enemas

Do what

A

Suppress immune system and decrease inflammation

116
Q

immunomodulators

Infliximab
Adalimumab

Do what

A

Suppress or increase the immune system.

In response to UC & crohns they decrease it

117
Q

What dangerous inadvertent effect can anti-diarrheal have on UC

A

Toxic Megacolon

118
Q

Osteoporosis is more likely in (UC or Crohns)

A

Crohns

119
Q

Natural orifice transluminal endoscopic surgery NOTES

Is for…

A

UC

It’s a MIS

120
Q

Describe type of surgery used for UC

A

Restorative protocolectomy with ileo pouch-anal anastomosis (RPC-IPAA)

Remove colon, make a stoma with small intestine, reverse stoma, poop out the small intestine

121
Q

Total proctocolectomy with permanent ileostomy is a surgery for UC.

Describe location of stoma

A

RLQ

122
Q

Metronidazole is used…

A

To treat skin infections

Metronidazole is an antibiotic. It’s used to treat skin infections, rosacea and mouth infections, including infected gums and dental abscesses.

It’s also used to treat conditions such as bacterial vaginosis and pelvic inflammatory disease

123
Q

What can a patient do if ostomy stops draining

A

Remove Pouch, lie down, knee-chest posistion, abdominal massage, apply moist towels to abdomen, drink hot tea

124
Q

Men under 50: ≤15 mm/hr
Men over 50: ≤20 mm/hr
Women under 50: ≤20 mm/hr
Women over 50: ≤30 mm/hr
Children: ≤10 mm/hr
Newborns: 0–2 mm/hr

These are normal values for which test

A

Erythrocte sedimentation rate

(Inflammation)

125
Q

atropine.
benztropine.
glycopyrrolate.
scopolamine.
trihexyphenidyl.
diphenhydramine.
clinidium.
flavoxate.

Which type of drugs
Which affect
Which GI patient should avoid them

A

Anticholinergic
Drying of mucus membrane
GERD / HH Avoid

NURS 1345 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions