A nurse assesses a client with ulcerative colitis. Which ...

[bclement10]

A nurse assesses a client with ulcerative colitis. Which complications are paired correctly with their physiologic processes? (Select all that apply.)
 
  a. Lower gastrointestinal bleeding - Erosion of the bowel wall
  b. Abscess formation - Localized pockets of infection develop in the ulcerated bowel lining
  c. Toxic megacolon - Transmural inflammation resulting in pyuria and fecaluria
  d. Nonmechanical bowel obstruction - Paralysis of colon resulting from colorectal cancer
  e. Fistula - Dilation and colonic ileus caused by paralysis of the colon

Question 2

A nurse assesses a client with peritonitis. Which clinical manifestations should the nurse expect to find? (Select all that apply.)
 
  a. Distended abdomen
  b. Inability to pass flatus
  c. Bradycardia
  d. Hyperactive bowel sounds
  e. Decreased urine output

[atrochim]

Answer to Question 1

ANS: A, B, D
Lower GI bleeding can lead to erosion of the bowel wall. Abscesses are localized pockets of infection that develop in the ulcerated bowel lining. Nonmechanical bowel obstruction is paralysis of the colon that results from colorectal cancer. When the inflammation is transmural, fistulas can occur between the bowel and bladder resulting in pyuria and fecaluria. Paralysis of the colon causing dilation and subsequent colonic ileus is known as a toxic megacolon.

Answer to Question 2

ANS: A, B, E
A client with peritonitis may present with a distended abdomen, diminished bowel sounds, inability to pass flatus or feces, tachycardia, and decreased urine output secondary to dehydration. Bradycardia and hyperactive bowel sounds are not associated with peritonitis.