week 9 & 10: diarrhea and constipation & intestinal obstructions

Question 1

constipation and diarrhea refer to the changes in the ______ of bowel movements

Answer 1

frequency

Question 2

etiology: lack of exercise is a risk/contributing factor to ______

Answer 2

constipation

Question 3

etiology: lack of fiber intake is a risk/contributing factor to _______

Answer 3

constipation

Question 4

etiology: decreased peristalsis (movement through GI tract) is a risk/contributing factor to ______

Answer 4

constipation

Question 5

slowed transport time means that stool stays in the intestines longer -> this can _______ stool (making it harder to pass)

Answer 5

dehydrate & harden

Question 6

what is a complication of constipation?

Answer 6

fecal impaction

Question 7

we will initiate constipation care plan if the patient has not had a bowel movement (BM) within______.

Answer 7

3 days

Question 8

Diarrhea refers to an increased FREQUENCY of defecation. This is usually accompanied by an increase in _______ (loose stools).

Answer 8

water content

Question 9

what does a herniation look like?

Answer 9

loop of bowel projects through weak spot in abdominal muscle and becomes stuck

Question 10

what does intussusception look like?

Answer 10

telescoping of the intestines

Question 11

what does torsion (aka volvulus) look like?

Answer 11

loop of bowel becomes twisted on itself

Question 12

what does diverticulosis look like?

Answer 12

out-pouching of bowel

Question 13

what does a tumor look like?

Answer 13

abnormal growth obstructs path of intestines

Question 14

what is a paralytic iileus?

Answer 14

ileum that is paralyzed r/t nerve impairment (considered a medical emergency)

Question 15

what are fibrous adhesions?

Answer 15

scar tissue formation can result from adhesions (scarring), chronic constipation, pregnancy

Question 16

intestinal obstructions manifestations: bowel sounds will be ______ before the complete obstruction

Answer 16

hyperactive

Question 17

intestinal obstructions manifestations: bowel sounds will be ______ after the complete obstruction (no contents)

Answer 17

absent

Question 18

intestinal obstruction: loops of bowel will be ______ and gas build-up are visible in x-ray

Answer 18

distended

Question 19

intestinal obstruction: _______ r/t/ abdominal distention, will be followed by vomiting

Answer 19

colicky pain

Question 20

intestinal obstruction: functional________ = increased hematocrit, hypotension, tachycardia, shock (all result of decreased circulating blood volume)

Answer 20

dehydration

Question 21

intestinal obstruction complication: _______ r/t impaired absorption

Answer 21

malnutrition

Question 22

intestinal obstruction complication: _______ r/t ischemia and impaired blood flow (strangled bowels)

Answer 22

necrosis

Question 23

intestinal obstruction complication: _____ r/t stress on the bowel wall

Answer 23

perforation/sepsis