chapter 34 problems with lower gi
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Questions and Answers

What is a primary cause of chronic diarrhea?

  • Use of laxatives
  • Ingestion of infectious agents (correct)
  • Food intolerance
  • High-fiber diet

    • What is a common therapeutic measure for diarrhea?

  • Laxative abuse
  • Probiotics (correct)
  • Use of enemas
  • High-fat diet

    • What is a risk factor for diverticulosis and diverticulitis?

  • Vegetarian diet
  • High fluid intake
  • Regular exercise
  • Low-fiber diet (correct)

    • What is a diagnostic method for intestinal obstructions?

    <p>Abdominal X-ray</p> Signup and view all the answers

    What is a sign of bowel obstruction?

    <p>Nausea and vomiting Fecal matter in emesis Distention • Abdominal pain • Blood/Mucus from rectum • Stool and flatus cease • Fluid/electrolyte imbalances</p> Signup and view all the answers

    What is a diagnostic method for GI bleeding?

    <p>Endoscopy</p> Signup and view all the answers

    What is a therapeutic measure for GI bleeding?

    <p>IV fluids for hydration npo</p> Signup and view all the answers

    What is a primary cause of chronic constipation?

    <p>Decreased intake of dietary fiber</p> Signup and view all the answers

    What is a common medication for pain control during flares of diverticulitis?

    <p>Mild Tylenol and antibiotics</p> Signup and view all the answers

    What is a sign of diverticulitis?

    <p>Cramping, constipation, no sysmotoms</p> Signup and view all the answers

    What is a nonmechanical cause of intestinal obstructions?

    <p>Inflammation, scar tissue, surgery tinkling sounds</p> Signup and view all the answers

    What is a sign of small bowel obstruction?

    <p>Fecal matter in emesis</p> Signup and view all the answers

    Which of the following is a symptom of constipation?

    <p>Intestinal rumbling</p> Signup and view all the answers

    What can prolonged constipation lead to?

    <p>Ulcers from pressure onto the colon mucosa</p> Signup and view all the answers

    What is a risk factor for constipation?

    <p>Decreased fiber/fluid intake</p> Signup and view all the answers

    What is the effect of ignoring the urge to pass stool?

    <p>The musculature in the rectum becomes insensitive to stool present, obstipation</p> Signup and view all the answers

    What can chronic laxative use lead to?

    <p>Complications such as impaction</p> Signup and view all the answers

    What is one of the complications of constipation?

    <p>Straining can lead to increased pressure and rupture</p> Signup and view all the answers

    What is the best therapeutic measure for constipation?

    <p>Prevention</p> Signup and view all the answers

    What does obstipation refer to?

    <p>Prolonged constipation</p> Signup and view all the answers

    What can decreased fiber/fluid intake lead to?

    <p>Constipation</p> Signup and view all the answers

    What is the effect of holding stool for longer periods?

    <p>More water is absorbed, leading to hard/dry stools</p> Signup and view all the answers

    What is the consequence of impaction?

    <p>Stool unable to pass</p> Signup and view all the answers

    What can conscious retention of feces lead to?

    <p>Chronic constipation</p> Signup and view all the answers

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