Podcast
Questions and Answers
Which interventions should be taught to the patient to avoid skin irritation and infections? (Select all that apply)
Which interventions should be taught to the patient to avoid skin irritation and infections? (Select all that apply)
Which intervention would be included in the care plan for a patient with diarrhea who has developed skin irritation? (Select all that apply)
Which intervention would be included in the care plan for a patient with diarrhea who has developed skin irritation? (Select all that apply)
Which postoperative instruction would be given to a patient after abdominal surgery for peritonitis?
Which postoperative instruction would be given to a patient after abdominal surgery for peritonitis?
Which postoperative action would be implemented for a patient who just had abdominal surgery for peritonitis?
Which postoperative action would be implemented for a patient who just had abdominal surgery for peritonitis?
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While assessing a patient with peritonitis, which finding would indicate that inflammation has progressed?
While assessing a patient with peritonitis, which finding would indicate that inflammation has progressed?
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Which symptoms would the nurse assess in a patient admitted for gastroenteritis? (Select all that apply)
Which symptoms would the nurse assess in a patient admitted for gastroenteritis? (Select all that apply)
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Which nursing intervention is the highest priority when caring for a patient who has diverticulitis with a suspected complication of perforated bowel?
Which nursing intervention is the highest priority when caring for a patient who has diverticulitis with a suspected complication of perforated bowel?
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Which statement made by the patient indicates effective learning regarding self-management of gastroenteritis?
Which statement made by the patient indicates effective learning regarding self-management of gastroenteritis?
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About which surgical intervention would the nurse anticipate teaching the patient with pain in the right lower quadrant?
About which surgical intervention would the nurse anticipate teaching the patient with pain in the right lower quadrant?
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Which condition would be most likely in a patient when there is bacterial contamination of the peritoneal cavity?
Which condition would be most likely in a patient when there is bacterial contamination of the peritoneal cavity?
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In which position would the nurse place a patient after having an exploratory abdominal laparotomy?
In which position would the nurse place a patient after having an exploratory abdominal laparotomy?
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Which medication would be prescribed to a patient who has severe diarrhea and an elevated temperature after returning from South America?
Which medication would be prescribed to a patient who has severe diarrhea and an elevated temperature after returning from South America?
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Which treatment would be suitable for an older patient with abdominal distention and low blood pressure?
Which treatment would be suitable for an older patient with abdominal distention and low blood pressure?
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Which assessment finding would the nurse observe in a patient with peritonitis? (Select all that apply)
Which assessment finding would the nurse observe in a patient with peritonitis? (Select all that apply)
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Which assessment finding would the nurse observe in a patient with peritonitis? (Select all that apply)
Which assessment finding would the nurse observe in a patient with peritonitis? (Select all that apply)
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Which sign of gastroenteritis may appear first in an older adult?
Which sign of gastroenteritis may appear first in an older adult?
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About which medication would the nurse teach a patient who is newly diagnosed with moderate ulcerative colitis (UC)?
About which medication would the nurse teach a patient who is newly diagnosed with moderate ulcerative colitis (UC)?
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Which medication prevents the migration of white blood cells (WBCs) to inflamed bowel tissue?
Which medication prevents the migration of white blood cells (WBCs) to inflamed bowel tissue?
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Which disorder is associated with inflammation of the small intestine?
Which disorder is associated with inflammation of the small intestine?
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Which patient requires infliximab treatment?
Which patient requires infliximab treatment?
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Which potential complication is associated with Crohn disease? (Select all that apply)
Which potential complication is associated with Crohn disease? (Select all that apply)
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The nurse is teaching a patient with ulcerative colitis about different medication regimens. Which drug would the nurse explain has a complication of hemolytic anemia if taken in higher doses?
The nurse is teaching a patient with ulcerative colitis about different medication regimens. Which drug would the nurse explain has a complication of hemolytic anemia if taken in higher doses?
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About which medication would the nurse teach the patient who is prescribed an antiperistaltic agent?
About which medication would the nurse teach the patient who is prescribed an antiperistaltic agent?
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Which medication would be helpful in a patient who has a fistula associated with Crohn disease?
Which medication would be helpful in a patient who has a fistula associated with Crohn disease?
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Which statement about a laparoscopic procedure for an appendectomy is correct?
Which statement about a laparoscopic procedure for an appendectomy is correct?
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Which classic symptom is seen in celiac disease? (Select all that apply)
Which classic symptom is seen in celiac disease? (Select all that apply)
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Which rationale is accurate as to why blood cultures are obtained in a patient with peritonitis?
Which rationale is accurate as to why blood cultures are obtained in a patient with peritonitis?
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Which complication is seen exclusively in patients with ulcerative colitis?
Which complication is seen exclusively in patients with ulcerative colitis?
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Which clinical findings in a patient indicate ulcerative colitis?
Which clinical findings in a patient indicate ulcerative colitis?
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Which statement about appendicitis is accurate?
Which statement about appendicitis is accurate?
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Which drug is often used to treat gastroenteritis caused by Shigella?
Which drug is often used to treat gastroenteritis caused by Shigella?
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A patient has been diagnosed with ulcerative colitis (UC) and reports having between four and five bloody stools per day. How would the nurse classify the intensity of this patient's UC?
A patient has been diagnosed with ulcerative colitis (UC) and reports having between four and five bloody stools per day. How would the nurse classify the intensity of this patient's UC?
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Which complication is associated with Crohn disease?
Which complication is associated with Crohn disease?
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Which classic symptom is seen in a patient with peritonitis?
Which classic symptom is seen in a patient with peritonitis?
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Which clinical manifestation is seen in Crohn disease?
Which clinical manifestation is seen in Crohn disease?
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Which physiological change is seen in a patient with ulcerative colitis?
Which physiological change is seen in a patient with ulcerative colitis?
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Which patient is at risk for celiac disease?
Which patient is at risk for celiac disease?
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Which surgical procedure for removing an inflamed appendix involves minimal intervention without an external incision?
Which surgical procedure for removing an inflamed appendix involves minimal intervention without an external incision?
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Which medication would a patient with ulcerative colitis who complains of severe diarrhea with exacerbations be taught to take for flare-ups?
Which medication would a patient with ulcerative colitis who complains of severe diarrhea with exacerbations be taught to take for flare-ups?
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A patient reports pain midway between the anterior iliac crest and the umbilicus in the right lower quadrant. The nurse would document that the patient is experiencing pain in which location?
A patient reports pain midway between the anterior iliac crest and the umbilicus in the right lower quadrant. The nurse would document that the patient is experiencing pain in which location?
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Which organism causes gastroenteritis and is possibly transmitted through the respiratory route in addition to the fecal-oral route?
Which organism causes gastroenteritis and is possibly transmitted through the respiratory route in addition to the fecal-oral route?
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Which source of gastroenteritis is the likely cause for a patient who has traveled outside the country?
Which source of gastroenteritis is the likely cause for a patient who has traveled outside the country?
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Which surgical techniques are involved in the treatment of Crohn disease?
Which surgical techniques are involved in the treatment of Crohn disease?
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Which sign/symptom is consistent with the diagnosis of appendicitis? (Select all that apply)
Which sign/symptom is consistent with the diagnosis of appendicitis? (Select all that apply)
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Which physiological changes take place in a patient about a week after having a total proctocolectomy with a permanent ileostomy?
Which physiological changes take place in a patient about a week after having a total proctocolectomy with a permanent ileostomy?
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Which illness is associated with right lower quadrant pain?
Which illness is associated with right lower quadrant pain?
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Which medication would be used as the first-line treatment for mild ulcerative colitis?
Which medication would be used as the first-line treatment for mild ulcerative colitis?
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Which surgical intervention is beneficial when a patient with abdominal pain has an indefinitive diagnosis?
Which surgical intervention is beneficial when a patient with abdominal pain has an indefinitive diagnosis?
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A patient has a low-grade fever and tenesmus. Which other clinical manifestation may indicate ulcerative colitis?
A patient has a low-grade fever and tenesmus. Which other clinical manifestation may indicate ulcerative colitis?
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Which incubation period is seen in a person with a normal immune system who has the Norwalk virus?
Which incubation period is seen in a person with a normal immune system who has the Norwalk virus?
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Which medication would be beneficial to the patient with gastroenteritis who has increased peristaltic movements?
Which medication would be beneficial to the patient with gastroenteritis who has increased peristaltic movements?
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Which term is used to describe a fistula that is present between the bowel and the bladder?
Which term is used to describe a fistula that is present between the bowel and the bladder?
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Which classic symptom is associated with appendicitis?
Which classic symptom is associated with appendicitis?
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Which disorder would the nurse identify as acute inflammatory bowel disorders? (Select all that apply)
Which disorder would the nurse identify as acute inflammatory bowel disorders? (Select all that apply)
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A patient reports having seven to nine bloody stools per day. The nurse finds that the patient has fever, tachycardia, anemia, and abdominal pain. The patient's laboratory reports indicate elevated C-reactive protein. Which classification of ulcerative colitis (UC) do these findings support?
A patient reports having seven to nine bloody stools per day. The nurse finds that the patient has fever, tachycardia, anemia, and abdominal pain. The patient's laboratory reports indicate elevated C-reactive protein. Which classification of ulcerative colitis (UC) do these findings support?
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Which examination is used to identify an enlarged appendix in a patient?
Which examination is used to identify an enlarged appendix in a patient?
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Which kind of diet would be provided to a patient to promote the healing of a fistula?
Which kind of diet would be provided to a patient to promote the healing of a fistula?
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Which bacteria may cause gastroenteritis?
Which bacteria may cause gastroenteritis?
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Which symptom is most indicative of Crohn disease (CD)?
Which symptom is most indicative of Crohn disease (CD)?
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Which cause of peritonitis is less common? (Select all that apply)
Which cause of peritonitis is less common? (Select all that apply)
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Which diagnostic test is preferred to differentiate between ulcerative colitis and Crohn disease?
Which diagnostic test is preferred to differentiate between ulcerative colitis and Crohn disease?
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Which symptom is usually seen first in gastroenteritis?
Which symptom is usually seen first in gastroenteritis?
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An 80-year-old patient with a 2-day history of myalgia, nausea, vomiting, and diarrhea is admitted to the medical-surgical unit with a diagnosis of gastroenteritis. Which health care provider prescription would the nurse implement first?
An 80-year-old patient with a 2-day history of myalgia, nausea, vomiting, and diarrhea is admitted to the medical-surgical unit with a diagnosis of gastroenteritis. Which health care provider prescription would the nurse implement first?
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Which statement about gastroenteritis is accurate?
Which statement about gastroenteritis is accurate?
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A patient is being discharged after a laparotomy for treatment of peritonitis. Which sign or symptom would the nurse teach the patient to report to the primary health care provider immediately? (Select all that apply)
A patient is being discharged after a laparotomy for treatment of peritonitis. Which sign or symptom would the nurse teach the patient to report to the primary health care provider immediately? (Select all that apply)
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Which nursing intervention would be included in the plan of care for a patient with appendicitis?
Which nursing intervention would be included in the plan of care for a patient with appendicitis?
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Which finding in a patient with gastroenteritis indicates dehydration? (Select all that apply)
Which finding in a patient with gastroenteritis indicates dehydration? (Select all that apply)
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Which teaching point would the nurse include in a plan of care for a patient with gastroenteritis? (Select all that apply)
Which teaching point would the nurse include in a plan of care for a patient with gastroenteritis? (Select all that apply)
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Study Notes
Assessment Findings for Peritonitis
- Common observations include anorexia and a distended abdomen.
- Symptoms may also include low-grade fever.
Gastroenteritis in Older Adults
- Acute confusion may be the first sign of gastroenteritis in older adults.
Ulcerative Colitis Medication
- Sulfasalazine is a key medication taught to newly diagnosed patients with moderate ulcerative colitis.
White Blood Cell Migration
- Vedolizumab prevents the migration of white blood cells to inflamed bowel tissue.
Small Intestine Inflammation
- Crohn disease is specifically associated with inflammation of the small intestine.
Infliximab Treatment
- Patients with Crohn disease may require infliximab treatment.
Complications of Crohn Disease
- Potential complications include fistulas, osteoporosis, malabsorption, and abscess formation.
Hemolytic Anemia and Medication
- Sulfasalazine may cause hemolytic anemia if taken in high doses.
Antiperistaltic Agents
- Loperamide is an antiperistaltic medication used for managing diarrhea.
Treatment for Fistulas
- Metronidazole is beneficial for patients with fistulas associated with Crohn disease.
Laparoscopic Appendectomy
- This minimally invasive procedure often results in less pain and quicker recovery.
Celiac Disease Symptoms
- Classic symptoms include steatorrhea, abdominal pain, and diarrhea/constipation.
Blood Cultures in Peritonitis
- Blood cultures are essential to determine the presence of septicemia.
Colorectal Cancer and Ulcerative Colitis
- Colorectal cancer is a complication exclusive to ulcerative colitis.
Clinical Findings of Ulcerative Colitis
- Presence of blood and mucus in stool indicates ulcerative colitis.
Appendicitis Facts
- Appendicitis primarily occurs in young adults, causing pain in the right lower quadrant.
Gastroenteritis Treatment
- Ciprofloxacin is commonly used to treat gastroenteritis caused by Shigella.
Classification of Ulcerative Colitis
- Patients reporting four to five bloody stools daily are classified as having moderate ulcerative colitis.
Complications of Crohn Disease
- Fistulas are a significant complication associated with Crohn disease.
Diagnostic Tools
- Abdominal ultrasound is preferred for identifying an enlarged appendix; colonoscopy is commonly used for differentiating between ulcerative colitis and Crohn disease.
Diet for Fistula Healing
- A high-protein diet aids in the healing of a fistula.
Gastroenteritis Pathogens
- Shigella species are a known cause of gastroenteritis.
Symptomatology of Crohn Disease
- Chronic diarrhea, abdominal pain, and fever are indicative of Crohn disease.
Causes of Peritonitis
- Less common causes include perforating tumors and leakage during surgery.
Treatment for Severe Gastroenteritis
- Fluid replacement is prioritized in patients with gastroenteritis.
Dehydration Indicators in Gastroenteritis
- Indicators include fever, oliguria, and poor skin turgor.
Postoperative Instructions for Peritonitis
- Patients should report temperatures exceeding 101°F (38.3°C) to healthcare providers.### Antibiotics and Postoperative Care
- Complete antibiotic courses as prescribed to combat infections effectively.
- Avoid lifting heavy objects post-surgery; restrictions last for at least 6 weeks.
Postoperative Actions for Abdominal Surgery
- For peritonitis patients, irrigating the peritoneal drain per orders is crucial.
- Maintain a semi-Fowler position to enhance drainage after abdominal surgery.
- Monitor respiratory rates intermittently, especially during the immediate postoperative period.
Signs of Complications in Peritonitis
- Diminishing bowel sounds indicate progression of peritonitis, while bowel sounds typically reduce as inflammation escalates.
- Increased heart rate is common due to inflammation, whereas bradycardia is not expected.
- Patients may experience abdominal distention due to reduced intestinal activity.
Gastroenteritis Symptoms to Monitor
- Key indicators include fever, acute confusion, and poor skin turgor, suggesting dehydration.
- Gastroenteritis often leads to hypotension due to fluid loss rather than hypertension.
Prioritizing Nursing Interventions
- In suspected perforated bowel with peritonitis, preparing for emergency surgery is the highest priority.
- Expect changes in vital signs due to pain and infection; pain management is important but secondary.
Self-Management Education for Gastroenteritis
- Keeping tooth and personal hygiene items separate prevents disease transmission.
- Patients should wash hands for 30 seconds post bowel movements.
- Avoid food handling for others during illness to reduce contamination risk.
Anticipated Surgical Interventions
- Appendicitis with associated symptoms may require an exploratory laparotomy to manage peritonitis.
- Surgical procedures differ in purpose: ileostomy for ulcerative colitis, total proctocolectomy for severe cases without ileo-anal pouch.
Bacterial Contamination Risks
- Gangrenous gallbladder is a significant concern in cases of bacterial peritoneal contamination.
- Chemical peritonitis can arise from bile leakage; less common causes include tumors.
Patient Positioning Post-Surgery
- Place patients in a semi-Fowler position post-exploratory laparotomy to facilitate drainage and lung expansion.
- Supine positioning may hinder drainage and lung expansion, increasing complication risks.
Appropriate Medications for Gastroenteritis
- Ciprofloxacin may be prescribed for bacterial gastroenteritis, especially after travel to areas with known contamination.
- Loperamide and diphenoxylate are contraindicated in bacterial infections as they may worsen the condition.
Treatment for Gastroenteritis in Older Patients
- Oral rehydration solutions are essential for patients experiencing dehydration, indicated by low serum potassium and low blood pressure.
- Avoid anti-diarrheal medications which can prevent necessary elimination of the organism.
Peritonitis Assessment Findings
- Common observations include distended abdomen and anorexia, indicating inflammation severity.
- Patients may experience high fever and decreased urine output due to fluid shifts associated with the condition.
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Description
Test your knowledge on nursing care for patients with inflammatory intestinal disorders. This quiz includes assessment findings and signs to watch for in conditions like peritonitis and gastroenteritis. Perfect for nursing students and professionals looking to refresh their knowledge.
