Brainscape's Knowledge GenomeTM

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


See full index

NSG 1100 > Unit IV (Bowel) > Flashcards

Unit IV (Bowel) Flashcards

1
Q

What techniques does the nurse use for abdominal assessment? Which order?

A

Inspection, Auscultation, Palpitation.

Look, Listen, Feel

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

The nurse notes the patient to have a larger than normal abdomen. What term would be used to describe the abdomen?

A

Protuberant.

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

What are the normal/acceptable terms used to describe the abdomen? Define each.

A

Flat- Self explanatory
Rounded- Convex
Scaphoid- Concave

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

The nurse reports the patient’s abdominal girth to be 42”. What does girth measure?

A

Girth measures circumference of the abdomen.

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

What landmarks outline the abdomen?

A

Costal margins to symphysis pubis.

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

What does the nurse visually inspect the abdomen for?

A

Contour, Symmetry, Girth.

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

What does the nurse expect to hear when auscultating bowel sounds?

A

‘Soft Clicks and gurgles’

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

Define peristalsis.

A

Rhythmic smooth muscle contractions of intestinal wall that propels intestinal contents towards the anus.

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

After auscultating the LUQ for one minute, the nurse notes occurence of only two bowel sounds. What is this termed?

A

Hypoactive bowel sounds.

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

After auscultating the LLQ for one minutes, the nurse notes occurence of rapid continuous bowel sounds. What is this termed?

A

Hyperactive bowel sounds.

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

How long does the nurse need to auscultate Each quadrant to accurately determine absent bowel sounds.

A

5 minutes.

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

What does the nurse assess for while palpating the abdomen during a bowel focused assessment?

A

Firmness

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

How deep does the nurse press to palpate the abdomen during a bowel-focused assessment?

A

1/2-1”

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

What influences the color of stool?

What gives stool its normal color?

A

Diet and medications.

Bile Pigmentation

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

What influences the consistency of the patients stool?

A

Diet, Fluid Intake, Gastric Motility, Medications

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

Normal stool shape:

A

Tubular 1” diameter.

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

Abnormally shaped stool can indicate:

A

Intestinal problems.

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

How is frequency of bowel movement noted/recorded?

A

X1, X2, X3, etc….

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

The collection of hardened stool in rectum or sigmoid colon that prevents passage of stool is termed:

A

Fecal Impaction

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

What is the cause of fecal impaction?

A

Prolonged retention or accumulation of fecal matter in the colon.

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

What s/s does the nurse monitor the pt for with a suspected fecal impaction?

A

Liquid brown seepage from rectum, abdominal distention, decreased appetite, nausea, flatus.

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

What instructions should the nurse give to the patient providing a stool culture?

A

Do not contaminate with urine or toilet tissue.

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

What does the nurse observe the stool specimen for?

A

Visible blood, mucus, pus.

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

What anaerobic organism infects the GI tract following antibiotic therapy?

A

Colstridium Difficle

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

What does a hemoccult detect?

A

Microscopic blood in stool.

26
Q

What solution is used in the hemoccult to test for blood in the stool?

A

Guiac

27
Q

The nurse performing a hemoccult test understands the stool smear will turn what color to indicate a positive result?

A

Blue

28
Q

What invasive diagnostic procedure produced an xray of the large intestine.

A

Barium Enema

29
Q

A Barium Enema observes for:

A

GI obstruction, and disease.

30
Q

What should the nurse encourage the patient to do following a barium enema?

A

Increase fluid intake, keeping the barium in liquid form.

31
Q

What does the nurse assess following a barium enema?

A

Bowel sounds and bowel movements

32
Q

Normal bowel sounds occur every

A

5-15 seconds

33
Q

Sx of Clostridium difficle

A

Diarrhea and dehydration

34
Q

Capsule endoscopy

A

Swallow pill with camera to take pictures of GI and detect cancer and ulcers

35
Q

Colonoscopy

A

Visual exam of lining of large intestine with scope

-From anus to ileum-

36
Q

Radiography studies

A 
Abdominal x-ray
CT scan
Barium enema
Endoscopy 
-colonoscopy
-sigmoidoscopy
37
Q

Geriatric considerations

A 
Increase 
-fatty tissue in trunk 
-constipation (laxative abuse)
Decrease 
-peristalsis 
-gastric secretions
-motility/sphincter tone
-muscle tone of intestines & abdomen 
-fiber & fluids
-
38
Q

Laxative abuse in the elderly can cause

A

Low k+ which may cause dysrhythmia

39
Q

What cause bowel sounds

A

Air & liquid moving through GI tract

40
Q

Borborygmi

A

Noisy loud “growling” sounds

41
Q

Hyperactive bowel sounds

A

Loud, gurgling rushed sounds

more than 35/min

42
Q

Hypoactive bowel sounds

A

Soft, low, widely separated sounds

Less than 5/min

43
Q

What does the nurse do if bowel sounds are absent

A

Report immediately because it may be a complication such as
Obstruction
Peritonitis
Paralytic ileus

44
Q

Procedure for auscultation bowel sounds

A

1) place patient in supine position with knees flexed
2) warm the diaphragm
3) place it on the beginning quadrant (mentally divide abdomen into 4 quadrants)
4) listen 5 min in EACH quadrant before determining absent bowel sounds
5) document presence/absence of bowel sounds

45
Q

How often do bowel sounds normally occur

A

5-20 sec

46
Q

Frequency of bowel sounds is related to

A

Presence of food in GI tract or state of digestion

47
Q

Normal bowel sounds occur every

A

5-15 seconds

48
Q

Sx of Clostridium difficle

A

Diarrhea and dehydration

49
Q

Capsule endoscopy

A

Swallow pill with camera to take pictures of GI and detect cancer and ulcers

50
Q

Colonoscopy

A

Visual exam of lining of large intestine with scope

-From anus to ileum-

51
Q

Radiography studies

A 
Abdominal x-ray
CT scan
Barium enema
Endoscopy 
-colonoscopy
-sigmoidoscopy
52
Q

Geriatric considerations

A 
Increase 
-fatty tissue in trunk 
-constipation (laxative abuse)
Decrease 
-peristalsis 
-gastric secretions
-motility/sphincter tone
-muscle tone of intestines & abdomen 
-fiber & fluids
-
53
Q

Laxative abuse in the elderly can cause

A

Low k+ which may cause dysrhythmia

54
Q

What cause bowel sounds

A

Air & liquid moving through GI tract

55
Q

Borborygmi

A

Noisy loud “growling” sounds

56
Q

Hyperactive bowel sounds

A

Loud, gurgling rushed sounds

more than 35/min

57
Q

Hypoactive bowel sounds

A

Soft, low, widely separated sounds

Less than 5/min

58
Q

What does the nurse do if bowel sounds are absent

A

Report immediately because it may be a complication such as
Obstruction
Peritonitis
Paralytic ileus

59
Q

Procedure for auscultation bowel sounds

A

1) place patient in supine position with knees flexed
2) warm the diaphragm
3) place it on the beginning quadrant (mentally divide abdomen into 4 quadrants)
4) listen 5 min in EACH quadrant before determining absent bowel sounds
5) document presence/absence of bowel sounds

60
Q

How often do bowel sounds normally occur

A

5-20 sec

61
Q

Frequency of bowel sounds is related to

A

Presence of food in GI tract or state of digestion

NSG 1100 (22 decks)

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