ExamI2:IPNRI206/IPNR206I(LatestI2024/I
2025IUpdate)IMedical-SurgicalINursingI
IIIGuide|IQuestionsIandIVerifiedIAnswers|I
100%ICorrect|IGradeIA-IFortis
Q:IIBS
Answer:
IDxIcriteriaIfor?
-AbdominalIpainIorIdiscomfortIthatIis:IRelievedIbyIdefecation
AssociatedIwithIaIchangeIinItheIstoolIfrequencyIand/orIconsistency
-MucorIrheaI(mucusIinItheIstool)
-AbdominalIbloating
Q:IDiverticulum
Answer:
Ismall,IblindIpouchIresultingIfromIaIprotrusionIofItheImucousImembranesIofIaIhollowI
organIthroughIweakenedIareasIofItheIorgan'sImuscularIwall
Q:Idiverticulosis
Answer:
IWhenIdiverticulaIareIpresent,ItheIpatientIisIsaidItoIhaveIdever-Iticulosis
Q:IColonIDiverticula
Answer:
,IIncreasesIinIintra-
abdominalIpressureIfromIconstipationIandIstrainingItoIdefecate,Iobesity,IandIaIlowIfibe
rIdietIappearItoIbeIfactorsIinItheIdevelopmentIofIIIIIIIIIIIIIIIIIII
Q:IDiverticulitis
Answer:
IIIIIIIIIIIIIIIIIIIIIIIofItheIintestineIproducesIsymptomsIofIdiarrheaIorIconstipation,Iacut
eIleftIlowerIabdominalIpain,Ibloating,Inausea,IandIvomiting.ITheIconditionImayIbeIco
mplicatedIbyIintestinalIobstructionIorIbyIperitonitisIifItheIintestinalIwallIruptures.
Q:Idiverticulosis
Answer:
ITxIfor?
High-
fiberIdiet,IincreasedIfluidsIandIbulkIlaxatives.IorIstoolIsoftenersImayIbeIallIthatIareInee
ded
Q:IAcuteIUncomplicated
Answer:
IForIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIdiverticulitis,IoutpatientITxImayIincludeIclearIliqu
idsIforI2ItoI3IdaysIwithIoralIantibiotics.
Q:IAcuteIcomplicated
Answer:
IInIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIcasesIofIdiverticulitisIorIfailedIoutpatientITx,Iparenter
alIantibioticsIwithIIVIhydrationIandIbowelIrestIbyIplacingItheIpatientIonINPOIstatusIfo
rI2-3IdaysImayIbeInecessary.
,Q:ISurgicalITreatment
Answer:
IRecurrentIepisodesIofIdiverticulitis,IorIperforationIandIperi-
Itonitis,IrequireIIIIIIIIIIIIIIIII
I
Q:IMechanicalIobstruction
Answer:
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIresultsIinIblockageIofItheIlumenIofItheIbowl.
ExamplesIincludeItumors,Iadhesions,IstrangulatedIhernia,ItwistingIofItheIbowlI(volvulu
s),ItelescopingIofIoneIpartIofItheIbowelIintoIitselfI(intussusception),IbariumIimpaction,I
foreignIbodies.
Q:InonmechanicalIobstruction
Answer:
IresultsIfromItheIabsenceIofIperistalsis.
•IMayIoccurIasIaIresultIofIparalyticIileusIafterIabdominalIsurgery,IfromIinfection,IorIas
IaIconsequenceIofIhypokalemia
Q:IHigh
Answer:
IObstructionsIIIIIIIIIIIIIinItheIintestinalItractIareIcharacterizedIbyIsharp,IbriefIpainsIinIt
heIupperIabdomen.
Q:IColon
, Answer:
IObstructionsIofItheIIIIIIIIIIIIIareIcharacterizedIbyIaImoreIgradualIonset,IwithImarkedI
abdominalIdistentionIasItheIbowelIfills,IpossibleIvomitingI(whichIoccursIlateIinItheIpro
cessIifIatIall)IandIpainsIthatIlastIseveralIminutesIorIlongerIandIcorrespondItoIperistaltic
Iwaves.
Q:IIntestinalIobstruction
Answer:
ITxIfor?
-
InsertionIofIanINGItubeIrelievesIsymptomsIbyIdecompressingIorIremovingIgas,Iintestin
alIcontentsIandImucus.
Q:ISurgery
Answer:
IIIIIIIIIIIIIIIIIisIindicatedIforIobstructionIcausedIadhesionsIvolvulus,Ihernia,IorItumor.
Q:IintestinalIobstruction
Answer:
INursingIManagementIfor?
-
PlaceIptntIinIfowlerIpositionItoIaidIinIrelievingIpressureIandIremovingIgas,IintestinalIc
ontentsIthroughItheIintestinalItubes
-FluidIandIelectrolyteImonitoring
-MeasureIabd.IgirthIeveryI2-4IhoursIbyIplacingItapeIatIsameIlocationIeveryItime
-
PainIcontrolIisIessential,IbutIincreasingIpainImayIindicateIunresolvedIintestinalIobstruct
ion
