Exam 3: NUR242\/ NUR 242 (New 2023\/ 2024) Medical-Surgical Nursing Exam Review| Complete Guide with Questions and Verified Answers| 100% Correct – Galen<\/p>\n\n\n\n
QUESTION
Intestinal obstruction is
Answer:
a partial or complete blockage of the bowel that results in the failure of the intestinal contents to
pass through
QUESTION
With obstruction
Answer:
gas and fluid accumulate proximal to and within obstructed segment causing bowel distention
QUESTION
A bowel obstruction is divided into two basic categories:
Answer:
Mechanical and Non-mechanical
QUESTION
Treatment of intestinal obstruction is directed toward
Answer:
relieving symptoms, managing fluid and electrolyte imbalances, preventing complications, and
treating the cause of obstruction
Exam 3: NUR242\/ NUR 242 (New 2023\/
2024) Medical-Surgical Nursing Exam
Review| Complete Guide with Questions and
Verified Answers| 100% Correct – Galen<\/p>\n\n\n\n
QUESTION
Surgery may be needed to relieve the obstruction if
Answer:
gastric decompression does not relieve the symptoms, or if there are signs of bowel necrosis. The
type of surgery will depend on the type and area of obstruction and may include intestinal
resection with an anastomosis or creation of an ileostomy or colostomy
QUESTION
If the small bowel obstruction is complete, the peristaltic waves become quite vigorous,
assuming
Answer:
revers direction, propelling intestinal contents toward the mouth rather than the rectum
QUESTION
Small bowel obstruction patient vomits
Answer:
stomach contents first, then the bilious contents of the duodenum, and finally the fecal contents
of the ileum
QUESTION
A distended abdomen, a bloated sensation, and altered bowel sounds may indicate a
Answer:
small bowel obstruction.
QUESTION
Patients with Ileostomy who develop distention and cramping should apply<\/p>\n\n\n\n
Answer:
warm, moist towels to abdomen or lightly massage abdomen
QUESTION
In large bowel obstructionWhat may be the only symptom for several days?
Answer:
constipation
QUESTION
In large bowel obstruction Barium enema may be ordered to reveal
Answer:
a distended, air-filled colon. Monitor the patient for bowel movement after a barium enema
QUESTION
Patients with large bowel obstructions may experience intermittent persistent
Answer:
lower abdominal cramping. Severe pain may result from strangulation or bowel perforation
QUESTION
When the appendix becomes inflamed and fills with pus it is called
Answer:
Appendicitis
QUESTION
Obstruction of the appendiceal lumen causes<\/p>\n\n\n\n
Answer:
appendicitis
QUESTION
If left untreated, an inflamed appendix will eventually
Answer:
burst, or perforate, spilling infectious materials into the abdominal cavity. This can lead to
peritonitis, a serious inflammation of the peritoneum that can be fatal unless it is treated quickly
with strong antibiotics
QUESTION
The classic symptom of appendicitis is
Answer:
abdominal pain. Pain becomes sharper over several hours and worsens with coughing, walking
or other jarring movements.
QUESTION
A sharp pain is felt in the lower right abdomen (RLQ) when the area is pressed on and then the
pressure is quickly released. this is known as
Answer:
rebound tenderness. Pain is relieved by bending the knees
QUESTION
Peritonitis results from
Answer:
contamination of a normal sterile peritoneal cavity with bacteria or chemical irritant
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