Exam (elaborations)
NURS-194: Intestinal and Rectal Disorders Questions With Complete Solutions
- Course
- Institution
NURS-194: Intestinal and Rectal Disorders Questions With Complete Solutions
[Show more]
Content preview
NURS-194: Intestinal and Rectal Disorders Questions WithComplete Solutions
Anal fissure: Correct Answers a longitudinal tear or ulceration
in the lining of the anal canal; usually due to passing a large firm
piece of stool.
Other risk factors include anal intercourse, childbirth, and
trauma
Painful defecation, bleeding, and burning are indicative s/s;
bright red streaking on surface of BM is seen.
Anal fistula Correct Answers a small, tubular crack-like fibrous
sore in the skin of the anus that can cause severe pain during a
bowel movement
Usually resultant from an anorectal abscess
Passage of flatus or feces from vagina are huge reg flags.
May also cause fecal or septic drainage from a cutaneous
opening.
Surgery recommended; these are not likely to heal
spontaneously
50% recurrence rate post-op; keep watching.
,Anorectal abscess: Correct Answers Collection of perianal pus
resulting from an infection in the anal glands. Usually a result of
an obstruction (feces, foreign bodies, or trauma)
Higher risk with IBD and immunosuppressive conditions
Abscesses may tunnel and form fistulas, usually in the path of
least resistance
S/s:
- 25% report abnormal discharge
- 21% report fever, chills
- 50% present with perianal edema
- Most experience dull perianal discomfort, especially when
passing stool, and perianal pruritis
Antidiarrheal agents: Correct Answers Loperamide (drug of
choice)
Diphenoxylate/atropine
Appendicitis: Correct Answers Patho: Inflammation of the
appendix due to obstruction or infection or due to being kinked;
eventually it becomes ischemic, necrotic, and overrun by
bacterial overgrowth, and perforates.
S/s: low-grade fever, pain, paralytic ileus and abdominal
distention (if ruptured)
Statistic: the most common cause of acute abdomen and
emergency abdominal surgery.
, Pain:
- initially, vague and dull periumbilical pain
- RLQ pain that is sharp and well localized
- rebound tenderness
- palpation of LLQ causes RLQ pain (Rovsing's sign)
- if ruptured: s/s peritonitis
Dx:
- imaging (CT, US)
- rule out ectopic pregnancy with HCG
- UA to rule out renal calculi
Labs: C+S, CBC, CMP, Lactic, CRP
- CRP may be normal after 24hrs
Assessing constipation: Correct Answers Rome IV
Assessment: 25% of BMs with the following:
- straining during BM
- Bristol I stool (lumpy, hard)
- sensation of incomplete elimination
- manual maneuvers needed
- less than 3 BMs weekly
Diagnostic:
- Abdominal XR
- Endoscopy
avoiding gluten: Correct Answers 1. Choose naturally gluten-
free food:
- fruits
- veggies
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now