NUR 170 Concepts of Medical-Surgical Nursing
Exam 4
Question:
What part of the body does Crohn’s disease affect?
Answer:
"Gum to Bum"= Mouth all the way through the digestive tract is inflamed
Question:
What part of the body does Ulcerative Colitis affect?
Answer:
Rectum/ Sigmoid colon
Question:
Which disease is highly genetic?--Ulcerative Colitis -- Crohns
Answer:
Ulverative Colitis 1 / 4
Question:
Which disease is more immune?--Ulcerative Colitis -- Crohns
Answer:
Crohns
Question:
Describe the diarrhea in a patient with Ulcerative Colitis
Answer:
- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Question:
Describe the diarrhea in a patient with Crohns disease
Answer:
-Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
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Question:
Which patient has strictures and Fistulas?
Answer:
Crohns disease
Question:
What is the surgical intervention for Ulcerative Colitis?
Answer:
Removal of the colon resulting in a ileostomy
Question:
What is the surgical intervention for Crohns?
Answer:
There is none. Only surgery is performed if something is wrong (perforations, strictures, or fistulas)
Question:
Describe the stool of an illeostomy?
Answer:
Watery. Located on the right side of body
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Question:
Describe the stool of a colostomy?
Answer:
Formed. Located on the left side of the body
Question:
If a colostomy is not draining, what should be done?
Answer:
- Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
Question:
How should an ostomy site (stoma) look?
Answer:
Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
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