Inflammatory Bowel Disease M.10-3
The nurse is caring for a patient with inflammatory bowel disease (IBD).
Which intervention should the nurse make a priority for this patient?
-Maintaining skin integrity
-Weighing every other day
-Encouraging deep breathing and coughing
-Discussing coping strategies - answerMaintaining skin integrity
Interventions for a patient with inflammatory bowel disease primarily focus on
preventing infection, monitoring weight daily, maintaining skin integrity, promoting
nutritional balance, and maintaining fluid balance. Encouraging deep breathing and
coughing may be an appropriate intervention, but this is not a primary focus for this
patient. Teaching coping skills, especially how they relate to IBD and the treatment
effects, is important but is not the primary focus for this patient.
A patient seeks medical care for diarrhea and lower abdominal pain.
Which diagnostic test should the nurse anticipate being prescribed for this patient?
-Colonoscopy
-Abdominal flat plate
-PET scan
-CT scan - answerColonoscopy
The patient is experiencing signs of Crohn disease, and the provider is likely to
prescribe a colonoscopy to look for the characteristic findings associated with the
disease, such as the cobblestone appearance of bowel mucosa. An abdominal flat plate
will not evaluate tissue characteristics. PET or CT scans will not be able to see the
lesions in the bowel for the diagnosis of Crohn disease.
The nurse prepares materials about ulcerative colitis (UC) for a community health fair.
Which age group should the nurse focus on when preparing this material?
-Between the ages of 15 and 30 years
-Between the ages of 5 and 15 years
-Between the ages of 25 and 55 years
-Between the ages of 30 and 60 years - answerBetween the ages of 15 and 30 years
, The most common age of onset for ulcerative colitis is between 15 and 30 years, with a
secondary peak between the ages of 50 to 70 years. The most common age of onset
for ulcerative colitis is not between 5 and 15, 25 and 55, or 30 and 60 years.
The nurse is caring for a patient newly diagnosed with Crohn disease.
Which lifestyle change should the nurse suggest to this patient?
-"Increase dietary fiber to add bulk to stools."
-"Increase intake of dairy products to increase calcium levels."
-"Limit protein to prevent irritation of the bowel."
-"Avoid anti-inflammatory medications to minimize irritation of the stomach lining." -
answer"Increase dietary fiber to add bulk to stools."
A patient with inflammatory bowel disease (IBD) may require changes to their diet in
order to manage the symptoms. Increasing dietary fiber can reduce diarrhea. Some
patients may need to eliminate dairy products, not increase intake. Patients may need
higher intake of protein to ensure that they are not malnourished. Anti-inflammatory
medications can reduce inflammation in the bowel and do not need to be avoided.
A patient with severe exacerbation of Crohn disease is prescribed bowel rest.
Which additional prescription should the nurse anticipate for this patient?
-Placement of a nasogastric tube for enteral feedings
-Initiation of a large-bore IV for fluid administration
-Soft, bland diet
-Insertion of a central line for parenteral feedings - answerPlacement of a nasogastric
tube for enteral feedings
When a patient is placed on bowel rest, enteral or parenteral feedings are initiated to
ensure adequate nutrition. If tolerated, enteral feeds are preferred due to the decreased
risk of complications. The nurse would anticipate the placement of a nasogastric tube in
order to initiate feedings. A large-bore IV for fluids does not address the patient's
nutritional needs. Even a soft, bland diet is contraindicated in a patient on bowel rest. It
is not within a nurse's scope of practice to insert a central line.
A patient prescribed bowel rest for an acute exacerbation of Crohn disease asks what
food is permitted.
Which response should the nurse make to this patient?
The nurse is caring for a patient with inflammatory bowel disease (IBD).
Which intervention should the nurse make a priority for this patient?
-Maintaining skin integrity
-Weighing every other day
-Encouraging deep breathing and coughing
-Discussing coping strategies - answerMaintaining skin integrity
Interventions for a patient with inflammatory bowel disease primarily focus on
preventing infection, monitoring weight daily, maintaining skin integrity, promoting
nutritional balance, and maintaining fluid balance. Encouraging deep breathing and
coughing may be an appropriate intervention, but this is not a primary focus for this
patient. Teaching coping skills, especially how they relate to IBD and the treatment
effects, is important but is not the primary focus for this patient.
A patient seeks medical care for diarrhea and lower abdominal pain.
Which diagnostic test should the nurse anticipate being prescribed for this patient?
-Colonoscopy
-Abdominal flat plate
-PET scan
-CT scan - answerColonoscopy
The patient is experiencing signs of Crohn disease, and the provider is likely to
prescribe a colonoscopy to look for the characteristic findings associated with the
disease, such as the cobblestone appearance of bowel mucosa. An abdominal flat plate
will not evaluate tissue characteristics. PET or CT scans will not be able to see the
lesions in the bowel for the diagnosis of Crohn disease.
The nurse prepares materials about ulcerative colitis (UC) for a community health fair.
Which age group should the nurse focus on when preparing this material?
-Between the ages of 15 and 30 years
-Between the ages of 5 and 15 years
-Between the ages of 25 and 55 years
-Between the ages of 30 and 60 years - answerBetween the ages of 15 and 30 years
, The most common age of onset for ulcerative colitis is between 15 and 30 years, with a
secondary peak between the ages of 50 to 70 years. The most common age of onset
for ulcerative colitis is not between 5 and 15, 25 and 55, or 30 and 60 years.
The nurse is caring for a patient newly diagnosed with Crohn disease.
Which lifestyle change should the nurse suggest to this patient?
-"Increase dietary fiber to add bulk to stools."
-"Increase intake of dairy products to increase calcium levels."
-"Limit protein to prevent irritation of the bowel."
-"Avoid anti-inflammatory medications to minimize irritation of the stomach lining." -
answer"Increase dietary fiber to add bulk to stools."
A patient with inflammatory bowel disease (IBD) may require changes to their diet in
order to manage the symptoms. Increasing dietary fiber can reduce diarrhea. Some
patients may need to eliminate dairy products, not increase intake. Patients may need
higher intake of protein to ensure that they are not malnourished. Anti-inflammatory
medications can reduce inflammation in the bowel and do not need to be avoided.
A patient with severe exacerbation of Crohn disease is prescribed bowel rest.
Which additional prescription should the nurse anticipate for this patient?
-Placement of a nasogastric tube for enteral feedings
-Initiation of a large-bore IV for fluid administration
-Soft, bland diet
-Insertion of a central line for parenteral feedings - answerPlacement of a nasogastric
tube for enteral feedings
When a patient is placed on bowel rest, enteral or parenteral feedings are initiated to
ensure adequate nutrition. If tolerated, enteral feeds are preferred due to the decreased
risk of complications. The nurse would anticipate the placement of a nasogastric tube in
order to initiate feedings. A large-bore IV for fluids does not address the patient's
nutritional needs. Even a soft, bland diet is contraindicated in a patient on bowel rest. It
is not within a nurse's scope of practice to insert a central line.
A patient prescribed bowel rest for an acute exacerbation of Crohn disease asks what
food is permitted.
Which response should the nurse make to this patient?
