Exam 5- Elimination & Tissue Integrity

A patient with a history of multiple abdominal surgeries reports to the ER with abdominal pain, n/v, and bloating. CT reveals scar tissue from the abdominal surgery. What do you assume is the cause of this discomfort?
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A patient with a history of multiple abdominal surgeries reports to the ER with abdominal pain, n/v, and bloating. CT reveals scar tissue from the abdominal surgery. What do you assume is the cause of this discomfort?
Adhesions (scare tissue)
Image: A patient with a history of multiple abdominal surgeries reports to the ER with abdominal pain, n/v, and bloating. CT reveals scar tissue from the abdominal surgery. What do you assume is the cause of this discomfort?
A mother seeking help for her 2 year old son that occasionally will loudly cry in a fetal position, has a lump in his belly, and has diapers filled with stool, mucus, and blood. What do you conclude may be the cause of this discomfort?
Pediatric intussusception
Image: A mother seeking help for her 2 year old son that occasionally will loudly cry in a fetal position, has a lump in his belly, and has diapers filled with stool, mucus, and blood. What do you conclude may be the cause of this discomfort?
Following treatment for small bowel adhesions, a 44 y/o male presents to the ER with abdominal distention, bloody stools, nausea, and constipation. CT reveals abnormal twisting in the small intestine. HCP put in a STAT order for surgery to avoid necrosis. What condition does that should like?
Volvulus
A 36 y/o 120 kg powerlifter reports to the ER with severe abdominal pain, constipation, swelling, and a loss of appetitive. After performing an abdominal assessment, the nurse notes a protrusion in the umbilical region. What complication can be inferred?
Hernia
A 60 y/o male complains of unintentional weight loss, abdominal pain, and tarry stool. Pt said he has never had a colonoscopy and missed his appointment when he turned 45. HCP orders a CBC, liver function tests, and an endoscopy. Endoscopy reveals a mass in the small intestine. Biopsy of mass is ordered. What complication can be inferred?
Tumor
An infant does not have a bowel movement within the first 24 hours post birth. The infant is fussy, has a swollen belly, and has bile stained vomiting. HCP suspects Hirschsprung's disease. What nursing interventions can the nurse do?
Maintain skin integrity, promote comfort (enemas), maintain fluid balance.
Which of the following may cause paralytic ileus? SATA.
A. Surgery
B. Opioids
C. Inflammation
D. Hypokalemia
E. Calcium Channel Blockers
ABCDE
Pt presents to the doctor's office complaining of sudden cramps, wavelike pain, constipation, abdominal distention, and n/v. The HCP suspects small bowel obstruction. When assessing the pt, the nurse notes dry mucosa, decreased skin turgor, and prolonged capillary refill time. What condition could be contributing to the patient's chief complaint?
Dehydration
What are the most common diagnostic tests to confirm small bowel obstruction?
Xray, CT, MRI
What does a CBC tell us for a patient with small bowel obstruction?
WBC- check for infection
Hematocrit & Hemoglobin- decreased indicates bleeding