GALEN NUR 242 MED SURG EXAM 3
2025 STUDY GUIDE QUESTIONS AND
CORRECT ANSWERS | A+ GRADED
STUDY RESOURCE
Irritable bowel syndrome (IBS) Correct Answer refers to a
disorder that involves abdominal pain and cramping, as
well as changes in bowel movements
IBS risk factors include Correct Answer consuming a diet
high in fats and gas producing foods. Consuming
carbonated beverages, caffeine and alcohol contribute to
the development.
IBS related factors Correct Answer Smoking and stress.
Emotional experiences such as anxiety and depression
are also a factor as this affects the autonomic nervous
system and it innervation to the bowel.
Nursing care for the patient with IBS focuses on Correct
Answer education and emotional support. Help the patient
implement lifestyle changes that reduce stress. Remind
the patient about regular exercise, Discourage smoking
while encouraging the need for regular physical
examinations
Intestinal obstruction is Correct Answer a partial or
complete blockage of the bowel that results in the failure
of the intestinal contents to pass through
,With obstruction Correct Answer gas and fluid accumulate
proximal to and within obstructed segment causing bowel
distention
A bowel obstruction is divided into two basic categories:
Correct Answer Mechanical and Non-mechanical
Treatment of intestinal obstruction is directed toward
Correct Answer relieving symptoms, managing fluid and
electrolyte imbalances, preventing complications, and
treating the cause of obstruction
Surgery may be needed to relieve the obstruction if
Correct 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
If the small bowel obstruction is complete, the peristaltic
waves become quite vigorous, assuming Correct Answer
revers direction, propelling intestinal contents toward the
mouth rather than the rectum
Small bowel obstruction patient vomits Correct Answer
stomach contents first, then the bilious contents of the
duodenum, and finally the fecal contents of the ileum
, A distended abdomen, a bloated sensation, and altered
bowel sounds may indicate a Correct Answer small bowel
obstruction.
Patients with Ileostomy who develop distention and
cramping should apply Correct Answer warm, moist towels
to abdomen or lightly massage abdomen
In large bowel obstructionWhat may be the only symptom
for several days? Correct Answer constipation
In large bowel obstruction Barium enema may be ordered
to reveal Correct Answer a distended, air-filled colon.
Monitor the patient for bowel movement after a barium
enema
Patients with large bowel obstructions may experience
intermittent persistent Correct Answer lower abdominal
cramping. Severe pain may result from strangulation or
bowel perforation
When the appendix becomes inflamed and fills with pus it
is called Correct Answer Appendicitis
Obstruction of the appendiceal lumen causes Correct
Answer appendicitis
If left untreated, an inflamed appendix will eventually
Correct Answer burst, or perforate, spilling infectious
materials into the abdominal cavity. This can lead to
peritonitis, a serious inflammation of the peritoneum that
2025 STUDY GUIDE QUESTIONS AND
CORRECT ANSWERS | A+ GRADED
STUDY RESOURCE
Irritable bowel syndrome (IBS) Correct Answer refers to a
disorder that involves abdominal pain and cramping, as
well as changes in bowel movements
IBS risk factors include Correct Answer consuming a diet
high in fats and gas producing foods. Consuming
carbonated beverages, caffeine and alcohol contribute to
the development.
IBS related factors Correct Answer Smoking and stress.
Emotional experiences such as anxiety and depression
are also a factor as this affects the autonomic nervous
system and it innervation to the bowel.
Nursing care for the patient with IBS focuses on Correct
Answer education and emotional support. Help the patient
implement lifestyle changes that reduce stress. Remind
the patient about regular exercise, Discourage smoking
while encouraging the need for regular physical
examinations
Intestinal obstruction is Correct Answer a partial or
complete blockage of the bowel that results in the failure
of the intestinal contents to pass through
,With obstruction Correct Answer gas and fluid accumulate
proximal to and within obstructed segment causing bowel
distention
A bowel obstruction is divided into two basic categories:
Correct Answer Mechanical and Non-mechanical
Treatment of intestinal obstruction is directed toward
Correct Answer relieving symptoms, managing fluid and
electrolyte imbalances, preventing complications, and
treating the cause of obstruction
Surgery may be needed to relieve the obstruction if
Correct 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
If the small bowel obstruction is complete, the peristaltic
waves become quite vigorous, assuming Correct Answer
revers direction, propelling intestinal contents toward the
mouth rather than the rectum
Small bowel obstruction patient vomits Correct Answer
stomach contents first, then the bilious contents of the
duodenum, and finally the fecal contents of the ileum
, A distended abdomen, a bloated sensation, and altered
bowel sounds may indicate a Correct Answer small bowel
obstruction.
Patients with Ileostomy who develop distention and
cramping should apply Correct Answer warm, moist towels
to abdomen or lightly massage abdomen
In large bowel obstructionWhat may be the only symptom
for several days? Correct Answer constipation
In large bowel obstruction Barium enema may be ordered
to reveal Correct Answer a distended, air-filled colon.
Monitor the patient for bowel movement after a barium
enema
Patients with large bowel obstructions may experience
intermittent persistent Correct Answer lower abdominal
cramping. Severe pain may result from strangulation or
bowel perforation
When the appendix becomes inflamed and fills with pus it
is called Correct Answer Appendicitis
Obstruction of the appendiceal lumen causes Correct
Answer appendicitis
If left untreated, an inflamed appendix will eventually
Correct Answer burst, or perforate, spilling infectious
materials into the abdominal cavity. This can lead to
peritonitis, a serious inflammation of the peritoneum that
