Week 12 Worksheet

GERD
1.Identify 4 foods or beverages that decrease LES pressure that the nurse should teach the client
with GERD to avoid:

Increase protein less fats, avoid milk, Choco, nicotine, peppermint, caffeinated, alcohol, spicy
food that aggravates

If upper emesis

If lower obstruction

When come first step is npo than ng tube, iv fluids, surgery to remove obstruction

Colorectal cancer

ULCERATIVE COLITIS & CROHN’S DISEASE

Determine if the statements below are True or False

2.Crohn’s disease only affects the terminal ileum and right

colon__________false_______________

3.Crohn’s is a full thickness inflammatory disease of the bowel.

________true_________________

4. Unlike Ulcerative Colitis, Crohn’s disease is never associated with extra-intestinal

manifestations.
_________________________________________true________________________

5.The peak ages of onset of Crohn’s disease are 20 years and 40 years_____false_______(15 to
25)_________
6.Uncommon complications of Crohn’s disease are intestinal obstruction, abscess and fistula
formation________________false__________________________________________________
_

7.What type of diet is prescribed for the client with Crohn’s Disease___________________

DIVERTICULOSIS(chronic) and diverticulitus(acute)

Chronic become acute over time

1. A condition where a client has sack-like projections of mucosa on the muscular layer
of the colon is called Diverticulosis

2. Diverticula(actual sacs)
3. Diverticulosis
4. Diverticulitis
5. Strangulated Hernia

A client is admitted with a diagnosis of acute diverticulitis. What nursing intervention is

appropriate for this client?

1.Instruct the client to remain NPO.

2.Encourage ambulation at least four times daily.

3.Administer cholinergic medications to reduce pain.

4.Encourage coughing and deep breathing every 2 hours

Observe pt for peritonitis

Match the following treatment modalities for Inflammatory Bowel Disease

with the appropriate rationales (answers may be used more than once)
A-Corticosteroids 2 1. Promote bowel rest

B- Parenteral Nutrition 4 2. Control Inflammation

C-Cobalamin Injections 4 3. Prevent secondary infection(antibiotics)

D- Anti-diarrheal agents 6 4. Correct Malnutrition

E- Sulfasalazine (Azulfidine) 2 5. Alleviate stress

F- IV fluids 7 6. Relieve symptoms

G- Sedatives 5 7. Correct fluid & electrolyte imbalance

H-Nasogastric suction 1

J-Iron injections 4

K- NPO 1

UC(ulcerative colitis) Crohn’s

Auto immune
Def/pathology Only affect colon, Whole digestive system, GI
only affect membrane(mucosa, tract ileum and colon,
submucosa), discontinuous,
rectum and goes up, continuous
comprised whole thickness
Symptoms +++ bloody diarrhea, abdo Diarrhea but not bloody
pain

Fever, tiredness, night sweats

Complications Ulcer forming , start to bleed,
perforation

Diagnosis

intervention Corticosteroids and ASAs(for Surgery can’t be done(low in

both) fiber and high in protein diet)

Surgery done to remove part,

may also need an ostomy

We take fiber when we are constipated, fruit and veg aggravate diarrhea, no whole wheat bread,
should canned foods
NUTRITIONAL THERAPY

Low-Residue Diet

Purpose

Low-residue diet provides foods low in fibre, which will result in a reduced amount of fecal
material in the lower intestinal tract.

General Principles

1. This diet eliminates foods that are indigestible or stimulating to the intestinal tract to reduce
the amount of residue in the colon. Foods should be included or excluded according to the
following list.

2. Hot and cold foods should be eaten slowly.

3. Milk products are limited to 2 cups daily. For a more restricted-residue diet, milk should be
eliminated.

1074