Author Question: Celiac sprue in the adult can lead to systemic problems. Arrange the pathophysical events of this in ... (Read 100 times)

mpobi80 · **on:** Jul 11, 2018

Celiac sprue in the adult can lead to systemic problems. Arrange the pathophysical events of this in order of their appearance. (Separate letters by a comma and space as follows: A, B, C, D)

a. Malabsorption
b. Weight loss/vitamin deficiency
c. Systemic involvement
d. Diarrhea
e. Ingestion of gluten
f. Destruction of villi in the small intestine

Question 2

The nurse uses a poster to show the process of bowel obstruction from diverticulitis. Arrange the pathophysiologic event in order. (Separate letters by a comma and space as follows: A, B, C, D)

a. Increase in intra-abdominal pressure
b. Weakened wall of sigmoid
c. Pouch fills with fecal matter
d. Pouch protrudes through smooth muscle
e. Narrowing of bowel lumen
f. Inflammation of diverticula

1_Step_At_ATime · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS:
E, F, A, D, B, C

The ingestion of gluten in the small intestine damages the villi, which leads to malabsorption and diarrhea. Weight loss and vitamin deficiency, which occur from altered nutrition, can expand into systemic involvement.

Answer to Question 2

B, A, D, C, F, E

Bowel obstruction from diverticulitis follows a sequential path: The wall of the bowel is weakened (usually the sigmoid), increase in abdominal pressure from such activities as bending and carrying heavy loads causes a pouch to protrude through the smooth muscle of the colon, the pouch fills with fecal matter, becomes inflamed, and narrows the lumen of the bowel causing obstruction.