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GRCC PN132 test1
GRCC PN132 Diverticulitis/Diverticulosis
Question | Answer |
---|---|
CONDITION CHARACTERIZED BY SMALL POUCHES IN THE INTESTINAL WALL | Diverticula |
Where are diverticula commonly located? | Sigmoid colon |
Diverticulosis | Characterized as a disease, it is the presence of diverticula and is usually asymptomatic. |
Diverticulitis | Characterized as infection or inflammation |
What are causes of diverticula? | Related to food, alcohol, chronic constipation. Person with this condition has decrease fiber in their diet. |
DISEASE IS MOST PREVALENT IN INDUSTRIALIZED POPULATIONS THAT CONSUME DIETS LOW IN FIBER AND HIGH IN REFINED CHOs. | Diverticulosis |
IS INFLAMMATION OF THE DIVERTICULI | DIVERTICULITIS |
When does infection (diverticulitis) occur? | When undigested food gets trapped in the diverticulum and it's blood supply becomes impaired allowing bacterial invasion. |
What is a common manifestation of diverticulitis. | Pain. |
Where is pain commonly located with patients with diverticulitis? | left sided and may be mild to severe and either steady or cramping. |
Constipation, diarrhea, nausea, vomiting, and low-grade fever may occur | Pt with diverticulitis may have these symptoms. |
Hemorrhage, peritonitis, abscess or fistula formation, and bowel obstruction. | Complications of diverticulitis |
What are nurses main role for treating pt with diverticulitis? | Education- emphasizing the importance of high fiber diets. |
pts with acute diverticulitis | nurse to teach food and liquid limitations, why fiber is limited during acute inflammation but increased for chronic mgmt. |
Change in bowel habits | clinical manifestation for diverticulitis |
Constipation, diarrhea or both | clinical manifestation for diverticulitis |
Rectal bleeding- hemoroids, colon cancer | clinical manifestation for diverticulitis |
Pain in the left lower abdomen- this is where sigmoid is located. | clinical manifestation for diverticulitis |
Nausea and vomiting | clinical manifestation for diverticulitis |
Diverticulitis is common in which age group? | Over 50 yrs of age over 40 yrs of age if obese |
Deficient fluid volume | Nursing Dgx of diverticulitis |
Acute pain | Nursing Dgx of diverticulitis |
Risk for infection | Nursing Dgx of diverticulitis |
Provide fluids as ordered | nursing interventions in treating diverticulitis (probably will have NG tube) |
Monitor I & O | nursing interventions in treating diverticulitis |
Give anti-emetics as ordered for N & V | nursing interventions in treating diverticulitis |
Assess for signs of perforation which are | fever, distention and rigidity. This is a nursing interventions in treating diverticulitis |
Education on diverticulosis, diet and treatment | nursing interventions in treating diverticulitis |
Diverticuli can cause obstruction and feels | boardlike |
What meds can be administered for nausea? | Fenogran or Zophran. Can give fengran between zophran dosages. |
Pt should be on high residue (high bulk, high fiber, high roughage) without spicy foods | Management and treatment of diverticulitis |
Pt can take stool softners | Management and treatment of diverticulitis |
Pt can be given analgesics for pain but NO Morphine sulfate (MSO4) | Management and treatment of diverticulitis |
Client will probably be given antibiotics | Management and treatment of diverticulitis |
Client should be advised to exercise more. | Management and treatment of diverticulitis |
DURING ACUTE INFLAMMATION, THE PATIENT IS PLACED ON BEDREST and NPO ordered. | Management and treatment of diverticulitis |
NASO-GASTRIC SUCTION MAY BE ORDERED | Management and treatment of diverticulitis |