Practice and Learn. Inflammatory
Bowel Disease
Ms. Hoffman asks the nurse what caused her IBD. What is the most accurate response
for the nurse to make? - answerIBD is caused by the body's immune system attacking
the intestine.
The nurse is developing a plan of care for Ms. Hoffman. What nursing diagnosis should
the nurse identify as the highest priority? - answerFluid volume deficit related to
diarrhea and decreased fluid intake.
Ms. Hoffman asks why she is not allowed to eat or drink. What is the reason for keeping
Ms. Hoffman NPO? - answerTo provide bowel rest and permit more rapid resolution of
the flare up symptoms.
What instructions should the nurse include about Ms. Hoffman's medications? -
answerYou shouldn't take Azulfidine if you are allergic to aspirin or sulfa drugs.
What should the nurse advise Ms. Hoffman about her diet? - answerEat a high protein
diet, high calorie diet
Eat a low-residue (low-fiber) diet
Avoid milk products
What should the nurse advise Ms. Hoffman about her activity? - answerShe may
maintain activity as she tolerates, even during exacerbations.
What complication of UC might Ms. Hoffman be experiencing? - answerToxic
megacolon
What hallmarks might indicate a diagnosis of toxic megacolon? - answerDilation of the
colon
Hypotension
Tachycardia
Electrolyte imbalance
Altered mental state
What is the most likely explanation for Ms. Hoffman's joint pain? - answerThe joint pain
is a manifestation of Ms. Hoffman's IBD.
After 24 hours, Hoffman's condition has improved. She says that a friend has suggested
she consider having surgery. She asks if surgery will cure her UC. What is the best
response for the nurse to make? - answerRemoving the entire colon can cure UC.
Bowel Disease
Ms. Hoffman asks the nurse what caused her IBD. What is the most accurate response
for the nurse to make? - answerIBD is caused by the body's immune system attacking
the intestine.
The nurse is developing a plan of care for Ms. Hoffman. What nursing diagnosis should
the nurse identify as the highest priority? - answerFluid volume deficit related to
diarrhea and decreased fluid intake.
Ms. Hoffman asks why she is not allowed to eat or drink. What is the reason for keeping
Ms. Hoffman NPO? - answerTo provide bowel rest and permit more rapid resolution of
the flare up symptoms.
What instructions should the nurse include about Ms. Hoffman's medications? -
answerYou shouldn't take Azulfidine if you are allergic to aspirin or sulfa drugs.
What should the nurse advise Ms. Hoffman about her diet? - answerEat a high protein
diet, high calorie diet
Eat a low-residue (low-fiber) diet
Avoid milk products
What should the nurse advise Ms. Hoffman about her activity? - answerShe may
maintain activity as she tolerates, even during exacerbations.
What complication of UC might Ms. Hoffman be experiencing? - answerToxic
megacolon
What hallmarks might indicate a diagnosis of toxic megacolon? - answerDilation of the
colon
Hypotension
Tachycardia
Electrolyte imbalance
Altered mental state
What is the most likely explanation for Ms. Hoffman's joint pain? - answerThe joint pain
is a manifestation of Ms. Hoffman's IBD.
After 24 hours, Hoffman's condition has improved. She says that a friend has suggested
she consider having surgery. She asks if surgery will cure her UC. What is the best
response for the nurse to make? - answerRemoving the entire colon can cure UC.
