Thursday, May 05, 2005

Colectomy Qs

This article covers bowel issues.
http://www.nursingcenter.com/prodev/ce_article.asp?tid=289200
I will try to post the answers in the next day or 2. I am travelling to So. CA this weekend and will connect online in the evenings.

1.
Laparoscopic bowel resection is associated with
1. increased perioperative stress response.
2. decreased length of hospital stay.
3. increased cardiopulmonary complications.
4. increased morbidity.

2.
Laparoscopic colectomy tends to reduce
1. cell-mediated immunity.
2. monocyte cell function.
3. interleukin-6 levels.
4. polymorphonuclear cell function.

3.
Fear of port site recurrence following laparoscopic colectomy has been associated with
1. sigmoid diverticulitis.
2. ulcerative colitis.
3. rectal prolapse.
4. colon cancer.

4.
The need for extensive procedures and long operative times has been associated with
1. sigmoid diverticulitis.
2. ulcerative colitis.
3. rectal prolapse.
4. colon cancer.

5.
Patients undergoing laparoscopic colectomy should be made aware that
1. their hospital stay will be extended if they have a stoma.
2. bowel preparation will occur after admission to the hospital.
3. they can expect to be discharged on their fourth postoperative day.
4. their laparoscopic procedure may need to be converted to an open procedure.

6.
Ostomy self-care education includes
1. early ambulation.
2. early advancement of diet.
3. basic pouch changing techniques.
4. nutrition assessment.

7.
A patient with a very soft abdomen should use a
1. standard flat 1-piece pouching system.
2. flexible 2-piece pouching system with an extended-wear barrier.
3. pouching system with a small or moderate degree of convexity.
4. pouching system with deep to very deep convexity.

8.
A patient with a flush or retracted stoma should use a
1. standard flat 1-piece pouching system.
2. flexible 2-piece pouching system with an extended-wear barrier.
3. pouching system with a small or moderate degree of convexity.
4. pouching system with deep to very deep convexity.

9.
Irritant dermatitis should be suspected when the peristomal skin
1. has raised, painful lesions with a wartlike appearance.
2. has pink, white, or gray lesions.
3. appears erythematous, moist, and painful.
4. has inflamed hair follicles.

10.
Peristomal pyoderma gangrenosum is characterized by
1. plaques with advancing borders and satellite lesions.
2. a tender wound bed with an irregular border and bluish hue.
3. lacerations, ulcerations, or stripping of peristomal skin.
4. maceration and overhydration of peristomal skin.

11.
Sharp debridement may be indicated to treat severe
1. folliculitis.
2. candidiasis.
3. pyoderma gangrenosum.
4. pseudoverrucous lesions.

12.
Local and systemic steroid therapy may be needed to treat
1. folliculitis.
2. candidiasis.
3. pyoderma gangrenosum.
4. pseudoverrucous lesions.

1 comment:

Unknown said...

My name is hoover, my 18 years old daughter, Tricia was diagnosed of herpes 3 years ago. ever since then,we have been going from one hospital to the other. We tried all sorts of pills but all efforts to get rid of the virus was futile. The blisters kept on reappearing after some months. My daughter was making use of Acyclovir tablets 200mg. 2 tablets every 6hours and fusitin cream 15grams. and H5 POT. Permanganate with water to be applied 2x a day but all still show no result. So I was on the internet some months back, to sought for any other means of saving my only child. just then, i came across a comment on dr imoloa herbal treatment and decided to give it a try. i contacted the him and he prepared some herbs and sent it to me together with guidelines on how to use the herbs through DHL courier service. my daughter used it as directed dr imoloa and in less than 14days, my daughter regained her health.. You should contact Dr imoloa today directly on his email address for any kind of health challenge; lupus disease,  mouth ulcer,  mouth cancer, body pain, fever, hepatitis A.B.C.,   syphilis,  diarrhea,  HIV/AIDS,  Huntington's Disease,   back acne,  Chronic renal failure,   addison disease,  Chronic Pain,   Crohn's Disease,   Cystic Fibrosis,  Fibromyalgia,   Inflammatory Bowel Disease,  fungal nail disease, Lyme Disease, Celia disease, Lymphoma, Major Depression,  Malignant Melanoma,   Mania,  Melorheostosis,   Meniere's Disease,  Mucopolysaccharidosis , Multiple Sclerosis,  Muscular Dystrophy,  Rheumatoid Arthritis, Alzheimer's Disease, parkison disease, vaginal cancer, epilepsy,  Anxiety Disorders, Autoimmune Disease,   Back Pain,  Back Sprain,   Bipolar Disorder,  Brain Tumour,  Malignant,   Bruxism, Bulimia,  Cervical Disk Disease, cardiovascular disease, Neoplasms, chronic respiratory disease,  mental and behavioural disorder,     Cystic Fibrosis,   Hypertension, Diabetes, asthma,  Inflammatory autoimmune-mediated arthritis.  chronic kidney disease, inflammatory joint disease,  impotence,  feta alcohol spectrum,  Dysthymic Disorder,   Eczema, tuberculosis,  Chronic Fatigue Syndrome, constipation, inflammatory bowel disease.  and many more; contact him on email- drimolaherbalmademedicine@gmail.com./ also on  whatssap-+2347081986098.