NURS 308 Exam 4 – Questions With Solutions
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Terms in this set (355)
inflammatory bowel disease chronic, recurrent inflammation of the intestinal tract
characterized by periods of remission and
exacerbation
crohn's disease types of inflammatory bowel disease:
ulcerative colitis
crohn's disease a chronic autoimmune disorder characterized by
recurrent inflammation of any segment of the GI tract
from the mouth to the anus
inflammatory bowel disease an autoimmune disease involving an immune reaction
to a person's own intestinal tract
teenage years and in early adulthood inflammatory bowel disease often begins during the
- 60s _____, and has a second peak in the _____
terminal ileum and colon crohn's disease is most often seen in the _____
crohn's disease cure is not possible with _____ - surgery is done to
remove diseased portions of the bowel to relieve
symptoms, but the disease will usually recur
ulcerative colitis a chronic autoimmune disorder characterized by
recurrent inflammation of the colon and the rectum
,proctocolectomy removal of the colon and rectum - either involves an
ileal pouch/anal anastomosis, or a permanent
ileostomy
ulcerative colitis a proctocolectomy is curative of _____
fever clinical manifestations of inflammatory bowel disease:
fatigue
abdominal pain/tenderness
weight loss
malnutrition
diarrhea
bloody stool urgency
hemorrhage intestinal complications of inflammatory bowel
perforation disease:
carcinoma
toxic megacolon
fistula
hemorrhage intestinal complication of inflammatory bowel
disease: occurs when an ulcer erodes through the
bowel vasculature
perforation intestinal complication of inflammatory bowel
disease: occurs when an ulcer erodes through the
bowel wall, which can lead to peritonitis and can be
life-threatening
toxic megacolon intestinal complication of inflammatory bowel
disease: occurs when edema and bowel distention
caused by inflammation stretches the bowel wall,
causing it to become enlarged and flaccid - the
bowel becomes very large and loses motility
,fistula intestinal complication of inflammatory bowel
disease: an abnormal connection between the bowel
and the abdominal cavity, vagina, or skin as a result of
the body's attempt to release the inflammatory
substances in the bowel
multiple sclerosis extra-intestinal complications of inflammatory bowel
ankylosing spondylitis disease:
liver disease
osteoporosis
crohn's disease extraintestinal complications are more common with:
ankylosing spondylitis an inflammatory disease that, over time, can cause
some of the bones in the spine to fuse
total proctocolectomy with one-stage surgery - the removal of the colon,
permanent ileostomy rectum, and anus with closure - no continence
total colectomy with ileoanal reservoir two procedures, 8 to 12 weeks apart - the first
(J-pouch) procedure removes the colon and anus, and creates
a temporary ileostomy - once healing has occurred,
the ileostomy is closed to allow fecal matter to flow
through the J-pouch
short bowel syndrome can occur with removal portions of the small intestine
- malabsorption and malnutrition disorder created by
the loss of a significant portion of functioning bowel
lifetime TPN is required to meet the what is required when short bowel syndrome
patient's nutritional needs occurs?
high-calorie, high-protein, low-residue diet for inflammatory bowel disease:
diet (low in fiber and fat)
irritable bowel syndrome a functional disorder characterized by intermittent
chronic abdominal pain and altered bowel habits
with no structural disorder and no inflammation
, irritable, spastic, or nervous colon irritable bowel syndrome is also known as:
colonic dysmotility a motility disorder that affects gastric motility through
an abnormal contraction of the intestinal muscles -
spasms
visceral hypersensitivity a personal experience of pain or discomfort in the
visceral organs
brain-gut dysfunction stimulation affects areas in the brain, producing
emotional distress which affects bowel functioning
- diffuse, lower abdominal pain (LLQ) clinical manifestations of irritable bowel syndrome:
- constipation, diarrhea, or both
- postprandial urgency
- abnormal stool consistency
- mucous stools
- abdominal bloating
- excessive flatulence
- sensation of incomplete bowel
evacuation
meals what can precipitate lower abdominal pain from
irritable bowel syndrome?
defecation what can relieve lower abdominal pain from irritable
bowel syndrome?
migraines extra-intestinal manifestations of irritable bowel
insomnia syndrome:
fibromyalgia
fatigue
altered sleep patterns