RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)
GASTROINTESTINAL DISORDERS
QUESTIONS
CASE I
Mr. A is a 50-year-old who suffered from ulcerative colitis underwent a permanent ileostomy. He's finding it hard to participate in his ileostomy care and told you that the smell is disgusting.
Question 1:
Identify five (5) recommendations you will teach him to prevent offensive odours?
1. _____________________________________________________________________________________________________________________________________________________.
2. _____________________________________________________________________________________________________________________________________________________.
3. _____________________________________________________________________________________________________________________________________________________.
4. _____________________________________________________________________________________________________________________________________________________.
5. _____________________________________________________________________________________________________________________________________________________.
CASE II
You are assisting a patient to ambulate following a bowel resection for diverticulitis. Suddenly, the patient complains of sharp abdominal pain. When you assess the patient, you determine that the wound has eviscerated. You stay with the patient and immediately call for assistance.
Question 1:
Identify two (2) priority nursing interventions you will do while you wait for the surgeon to arrive?
1. _____________________________________________________________________________________________________________________________________________________.
2. _____________________________________________________________________________________________________________________________________________________.
CASE III
You asks a patient who had abdominal surgery 3 days ago if he has bowel movement since his surgery. The patient states, "I haven't moved my bowels, but I am passing gas".
Question 1:
How should you intervene?
1. _____________________________________________________________________________________________________________________________________________________.
CASE IV
You are providing a follow-up teaching at a CLSC clinic visit for a patient recovering from gastric resection. The patient reporst sweating, diarrhea, nausea, palpitations, and the desire to lie down 15-30 minutes after meals.
Question 1:
What do you suspect the patient has?
1. ______________________________________________________________________________________________________________________________________________________.
Question 2:
Identify three instructions you will advice the patient to prevent his symptoms?
1. ______________________________________________________________________________________________________________________________________________________.
2. ______________________________________________________________________________________________________________________________________________________.
3. ______________________________________________________________________________________________________________________________________________________.
CASE V
A physician orders lactulose (Cephulac), 30 mL three times per day, when a patient with cirrhosis develops an increased serum ammonia level.
Question 1:
What should you monitor to evaluate the effetiveness of lactulose?
1. ______________________________________________________________________________________________________________________________________________________.