DSM. IBD
An adolescent with a new ileostomy is observed crying.
Which action is best for the nurse take at this time? – answer Sit next to the patient.
A patient with IBD asks about dietary supplements to help with the symptoms. Which
suggestion should the nurse make to this patient? - answer Probiotics. There is some
preliminary evidence that suggests some probiotics may improve symptoms of IBS;
however, benefits have not been conclusively demonstrated, & not all probiotics have
the same effects. Possible dietary changes: Elimination of dairy or dairy products.
Increasing dietary fiber. Withholding all food to promote bowel rest. use of TPN during
acute exacerbation.
The nurse is caring for a young female adult with Crohn disease who was married a few
weeks ago. Which question should the nurse include in the assessment interview? -
answer"Are you considering starting a family soon?" Women with IBD are at increased
risk of severe preeclampsia, medically indicated preterm delivery, preterm premature
rupture of membranes, and delivering infants with low Apgar scores and major
congenital malformations. I
A patient seeks medical care for diarrhea and lower abdominal pain.
Which diagnostic test should the nurse anticipate being prescribed for this patient? -
answerColonoscopy. PT is experiencing signs of Crohn disease, & 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. Common diagnostic
tests for IBD:
Barium x-rays (look for masses, abscesses, fistulas).
Colonoscopy & sigmoidoscopy
The nurse is planning care for a patient with inflammatory bowel disease (IBD). Which
outcome should the nurse consider as most appropriate for this patient? - answerThe
patient has no symptoms of infection.. most correct outcome for the PT c IBD is for PT
to demonstrate no signs of an infection. PT should have no loss of skin integrity or wt
loss. Expected outcomes: demonstrates absence of GI distress.PT & family
demonstrate successful management of meds without side effects. PT demonstrates no
s/s of infection. PT verbalizes attainment of a positive body image. PT demonstrates
integration of relaxation techniques
A PT prescribed bowel rest for an acute exacerbation of Crohn disease asks what food
is permitted. Which response should the nurse make to this patien - answer"We will put
a tube into your stomach and give you a special type of high-protein and high-calorie
solution." When a PT is placed on bowel rest, enteral or parenteral feedings are initiated
An adolescent with a new ileostomy is observed crying.
Which action is best for the nurse take at this time? – answer Sit next to the patient.
A patient with IBD asks about dietary supplements to help with the symptoms. Which
suggestion should the nurse make to this patient? - answer Probiotics. There is some
preliminary evidence that suggests some probiotics may improve symptoms of IBS;
however, benefits have not been conclusively demonstrated, & not all probiotics have
the same effects. Possible dietary changes: Elimination of dairy or dairy products.
Increasing dietary fiber. Withholding all food to promote bowel rest. use of TPN during
acute exacerbation.
The nurse is caring for a young female adult with Crohn disease who was married a few
weeks ago. Which question should the nurse include in the assessment interview? -
answer"Are you considering starting a family soon?" Women with IBD are at increased
risk of severe preeclampsia, medically indicated preterm delivery, preterm premature
rupture of membranes, and delivering infants with low Apgar scores and major
congenital malformations. I
A patient seeks medical care for diarrhea and lower abdominal pain.
Which diagnostic test should the nurse anticipate being prescribed for this patient? -
answerColonoscopy. PT is experiencing signs of Crohn disease, & 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. Common diagnostic
tests for IBD:
Barium x-rays (look for masses, abscesses, fistulas).
Colonoscopy & sigmoidoscopy
The nurse is planning care for a patient with inflammatory bowel disease (IBD). Which
outcome should the nurse consider as most appropriate for this patient? - answerThe
patient has no symptoms of infection.. most correct outcome for the PT c IBD is for PT
to demonstrate no signs of an infection. PT should have no loss of skin integrity or wt
loss. Expected outcomes: demonstrates absence of GI distress.PT & family
demonstrate successful management of meds without side effects. PT demonstrates no
s/s of infection. PT verbalizes attainment of a positive body image. PT demonstrates
integration of relaxation techniques
A PT prescribed bowel rest for an acute exacerbation of Crohn disease asks what food
is permitted. Which response should the nurse make to this patien - answer"We will put
a tube into your stomach and give you a special type of high-protein and high-calorie
solution." When a PT is placed on bowel rest, enteral or parenteral feedings are initiated
