Karteikarten
Jeopardy Lab game
Karten in diesem Stapel (29)
- 1Diagnostics: Two points in Prep for Barium Enema?Diagnostics Answer:
Complete emptying of bowel day before
*Clear Liq day before,
*NPO night before - 2Diarrhea How must hands be cleaned after contact with patient with C diff?Diarrhea
Soap and water - 3Constipation/Fecal Incontinence What is normal range for bowel movements?Constipation/Fecal Incontinence
Three times/day to every three days. - 4Peritonitis/hemorrhoids The pain felt upon release of abdominal palpation.Peritonitis/hemorrhoids
Rebound tenderness - 5Intestional Obstruction/ Diverticular Disease Lack of intestinal peristalsis. Normal finding after abdominal surgery.Intestional Obstruction/ Diverticular Disease
Paralytic ileus - 6Diagnostics Two Post Nursing Care for Barium Enema:Diagnostics
* increase fluids
*Stool will be chalky for 1-3 days
*May use laxatives to assist clearing - 7Diarrhea This type of antidairrheal causes decreased bowel motility and increased absorption from stool.Diarrhea
Opioids and opioid derivitives
Immodium, Lomotil - 8Constipation/Fecal Incontinence Two treatments for fecal incontinence:Constipation/Fecal Incontinence
*bulking agents/fiber
*antidiarrheal
*fecal disimpaction
*biofeedback
*Kegels
*bowel training program
*Solesta injection - 9Peritonitis/hemorrhoids Three symptoms of hemorrhoids.Peritonitis/hemorrhoids
Rectal bleeding , pruritis, pain, prolapse - 10Intestional Obstruction/ Diverticular Disease A patient with acute diverticulitis should eat this type of diet.Intestional Obstruction/ Diverticular Disease
No diet! NPO to let colon rest - 11Diagnostics Three things a stool sample might be tested for:Diagnostics
* occult blood, ova, parsites, culture - 12Diarrhea Three things to ask in history of pt with diarrhea.Diarrhea
*Stool description/pattern
* Foreign Travel?
* new foods, meds?
* Recent hospitalization?
* Stress?
* Family/friends ill? - 13Constipation/Fecal Incontinence What is the mechanism by which constipation can cause fecal incontinence?Constipation/Fecal Incontinence
Constipation leads to straining -> weakens pelvic floor -> incontinence - 14Peritonitis/hemorrhoids Four causes of peritonitis.Peritonitis/hemorrhoids
*Cirrhoisis with ascites,
* Rupture of abd organ,
*Peritoneal dialysis,
*Gunshot & knife wounds
* portal hypertension (cirrhosis) - 15Intestional Obstruction/ Diverticular Disease common type of small bowel obstruction.Intestional Obstruction/ Diverticular Disease
Surgical adhesions - 16Diagnostics Two teaching pts for Endoscopy:Diagnostics
* Must have ride home (sedation)
* may have cramping s/t air injected into bowel - 17Diarrhea Class of antidiarrheal that causes decreased secretions and provides a protective coating.Diarrhea
Bismuth Subsalicylates:
Pepto-Bismol, Kaopectate - 18Constipation/Fecal Incontinence How long does it take for a stool softener to act?Constipation/Fecal Incontinence
72 hours - 19Peritonitis/hemorrhoids Predisposing conditions to hemorrhoids:Peritonitis/hemorrhoids
*Pregnancy,
*Prolonged constipation,
*Straining in defecation,
*Heavy lifting,
*Prolonged standing or sitting - 20Intestional Obstruction/ Diverticular Disease Where in the GI tract is diverticular disease most likely to occur?Intestional Obstruction/ Diverticular
Disease
Sigmoid colon - 21Diagnostics The difference between a laparotomy and laparoscopy.Diagnostics
Laparatomy : open surgery
Laparoscopy: endoscopy and light via slit in abdominal wall - 22Diarrhea Five nursing care points for patient with diarrheaDiarrhea
*avoid causative agent
*increase fluids (IV or Gatoraid)
* strict infection control
* ready access to BSC
*good skin care & use or protectants
* no solids X 24 hours
* reintroduce foods slowly - 23Constipation/Fecal Incontinence patient teaching points for constipation.Constipation/Fecal Incontinence
* ↑ fiber
* ↑ fluids
* exercise regularly
* don't delay defication
* avoid laxatives/enemas
* use optimal position - 24Peritonitis/hemorrhoids What are the two priority assessments for a patient with peritonitis?Peritonitis/hemorrhoids
*Severe abdominal pain,
*s/s of shock
Also:
Guarding of abdomen
Rigidity of abdomen
Rebound tenderness
Abdominal distention
Fever
N/V - 25Intestional Obstruction/ Diverticular Disease Four teaching points for diverticulosis.Intestional Obstruction/ Diverticular Disease
* high fiber
* Decrease fat & red meat
* weight reduction
* ↑ activity
* avoid ↑intrabdominal pressure - 26Describe the difference between a colectomy, colostomy, and ileostomy, and end to end anastomosis. Colectomy:Describe the difference between a colectomy, colostomy, and ileostomy, and end to end anastomosis.
surgical resection of part or all of colon; will include either an end to end anastomosis or ostomy - 27Colostomy:surgical procedure that brings one end of the large intestine out through the abdominal wall.
- 28Ileostomy:surgical procedure to bring one end of ileum (last section of small intestine) out through abdominal wall
- 29End to end anastomosis:surgical procedure to sew 2 ends of intestine back together
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- Karteikarten am Jeopardy Lab game, erstellt von Wednesday Patches am 22/07/2018.
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