med surge 11
Terms
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- A ______ is found in the intergluteal cleft on the posterior surface of the lower sacrum.
- Pilonidal sinus (cyst)
- The diagnosis of achalasia is confirmed by__________, a process in which the esophageal pressure is measured by a radiologist or gastroenterologist
- manometry
- Achalsia may be trated surgically by_________
- Esophagomyotomy
- The achalasia pt. undergoing pneumatic dilitation shoukld be monitored for_______.
- Perforation
- Anal fistulas usually result from_____.
- Infection
- A(n) ______ is a tiny, tubular, fibrous tract that extends into the anal canal from an opening located beside the anus
- Anal fistula
- A _______ is the recommended surgical procedure for an anal fistula.
- Fistulectomy
- ______ are dilated portions of veins in the anal canal
- Hemorrhoids
- A(n) _________ is a longitudinal tear or ulceration in the lining of the anal canal.
- Anal fissure
- The major complication of appendicitis is ___________.
- Perforation of the appendix
- Normal activity after an appendectomy can be resumed within ____ to _____ weeks.
- 2-4
- After an appendectomy the nurse places the patient in a ________ position.
- semi-fowler
- Perforation of the appendix generally occurs _________ hours after the onset of pain.
- 24
- If the appendix curls behind the cecum, pain and tenderness may be felt in the ___________.
- lumbar region
- ___________ is pain felt in the right lower quadrant after the left lower quadrant has been palpated
- Rovsing's sign
- McBurneys point is located between the _______ and the __________.
-
Umbilicus
Anterior superior iliac spine - What age and gender suffers more from appendicitis?
- Males between 10 and 30 years
- The appendix is attached to the _______ just below the _______
-
Cecum
ileocecal valve - What are the two types of hemorrhoids?
-
Internal
External - _________ should follow each bowel movement for 1 to 2 weeks following hemorrhoid surgery.
- sitz bath
- The nurse encourages intake of at least ____ of water daily to provide adequate hydration
- 2 liters
- The pt. with hernia is advised not to recline for ____ after eating and to elevate the head of the bed ____ to ___ inches
-
1 hour
4-8 - Diagnosis of hernia are confirmed by________, ________, and _____.
-
x-ray
Barium Swallow
Floroscopy - The complications of ___, ____, and ___ can occur with any type of hernia.
-
Hemorrhage
Obstruction
Strangulation - The pt, with sliding hernia may have symptoms of ________, _______, and ______.
-
Heartburn
Regurgitation
Dysphagia - _______ hernia occurs when all or part of the stomach pushes through the diaphragm.
- paraesophageal
- _________ hernia occurs when the upper stomach and the gastroesophagel junction (GEJ) are displaced upward and slide in and out of the thorax.
- Sliding
- What are the two types of hiatal hernia?
- Sliding & Paraesophagel
- Hiatal hernias happen more often in __________.
- Women
- Achalasia may be treated conservatively by ________ to stretch the narrowed area of the esophagus.
- Pneumatic dilitation
- The patient with achalasia should be instructed to ___ and to ____.
-
eat slowly
drink fluids with meals - Achalsia occurs most often in people ________ years of age or older
- 40
- _______ is absent or ineffective peristalsis of the distal esophagus accompanied by failure of the esophageal sphincter to relax in response to swallowing
- Achalasia
- Patients with achalasia have the sensation of _________.
-
food sticking in the lower esophagus.
They sometimes report a "lump in their throat" - The primary symptom of achalasia is _______.
- difficulty in swallowing both liquids and solids.