Inflammatory Bowel Disease NCLEX Questions

Question 1

Which sign/symptom should the nurse expect to find in s client diagnosed with ulcerative colitis?

1. Twenty bloody stools a day
2. Oral temperature of 102F
3. Hard, rigid abdomen
4. Urinary stress incontinence

Answer 1

1. The colon is ulcerated and unable to absorb water, resulting in blooding diarrhea. Ten to 20 bloody diarrhea stools is the main common symptom of ulcerative colitis.

Question 2

The client with type 2 diabetes is prescribed prednisone, a steroid, for an acute exacerbation of inflammatory bowel disease. Which intervention should the nurse discuss with the client?

1. Take the medicatio. On an empty stomach.
2. Notify the HCP if experiencing a moon face
3. Take the steroid medication as prescribed.
4. Notify the HCP if the blood glucose is over 100

Answer 2

3. This medication must be tapered off to prevent adrenal insufficiency; therefore the client must take this medication as prescribed.

Question 3

The client diagnosed with inflammatory bowel disease has a serum potassium level of 3.4 mEq/L. Which action should the nurse implement first?

1. Notify the health-care provider
2. Assess the client for muscle weakness
3. Request telemetry for the client
4. Prepare to administer potassium IV

Answer 3

2. Muscle weakness may be a sign of hypokalemia; hypokalemia can lead to cardiac dysrythmias and can be life threatening. Assessment is priority for potassium level just below normal level, which is 3.5 to 5.5 mEq/L..

Question 4

The client is diagnosed with and acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?

1. Provide a low residue diet
2. Rest the clients bowel
3. Assess vital signs daily
4. Administer antacids orally

Answer 4

2. Whenever a client has an acute exacerbation of gastrointestinal disorder, the first intervention is to place the bowel on rest. The client should be NPO with intravenous fluids to prevent dehydration.

Question 5

The client diagnosed with IBD is prescribed tits, parents, nutrition (TPN). Which intervention should the nurse implement?

1. Check the clients glucose level
2. Administer an oral hypoglycemic
3. Assess the peripheral intravenous site
4. Monitor the clients oral food intake

Answer 5

1. TPN is high in dextrose, which is glucose; therefore, the clients blood glucose level must be monitored closely.

Question 6

The client is diagnosed with an acute exacerbation of IBD. Which priority intervention should the nurse implement first?

1. Weigh the client daily and document in the clients chart
2. Teach coping strategies such as dietary modifications
3. Record the frequency, amount, and color of stools
4. Monitor the clients oral fluid intake every shift

Answer 6

3. The severity of the diarrhea helps determine the need for fluid replacement. The liquid stool should be measured as part of the total output

Question 7

The client diagnosed with Crohn’s disease is crying and tells the nurse, I can’t take it anymore. I never know when I will get sick and end up here in the hospital. Which statement is the nurses best response?

1. I understand how frustrating this must be for you.
2. You must keep thinking about the good things in your life.
3. I can see you are very upset. I’ll sit down and we can talk
4. Are you thinking about doing anything lie committing suicide?

Answer 7

3. The client is crying and is expressing feelings of powerlessness; therefore, the nurse should allow the client to talk.

Question 8

The client diagnosed with ulcerative colitis has an ileostomy. Which statement indicates the client needs more teaching concerning the ileostomy?

1. My stoma should be pink and moist
2. I will irrigate my ileostomy every morning
3. If I get a red, bumpy, itchy rash I will call my HCP
4. I will change my pouch if it starts leaking

Answer 8

2. An ileostomy will drain liquid all the time and should not routinely be irrigated. A sigmoid colostomy may need daily irrigation to evacuate feces.

Question 9

The client diagnosed with IBD is prescribed sulfasalazine (Asulfidine), a sulfonamide antibiotic. Which statement best describes the rationale for administering this medication?

1. It is administered re tally to help decrease colon inflammation.
2. The medications Slows gastrointestinal motility and reduces diarrhea
3. This medication kills the bacteria causing the exacerbation
4. It acts topically on the colon mucosa to decrease inflammation

Answer 9

4. Asulfidine is poorly absorbed from the gastrointestinal tract and acts topically on the colonic mucosa to inhibit the inflammatory process.

Question 10

The client is diagnosed with Crohn’s disease, also known as regional enteritis. Which statement by the client supports this diagnosis?

1. My pain goes away when I have a bowel movement
2. I have bright red blood in my stool all the time
3. I have episodes of diarrhea and constipation
4. My abdomen is hard and rigid and I have a fever

Answer 10

1. The terminal ileum is the most common site for regional enteritis, which causes right lower quadrant pain that is relieved by defecation.

Question 11

The client diagnosed with ulcerative colitis is prescribed a low residue diet. Which meal selection indicates the client understands the diet teaching?

1. Grilled hamburger on a wheat bun and fried potatoes
2. A chicken salad sandwich and lettuce and tomato salad
3. Roast pork, white rice, and plain custard
4. Fried fish, whole grain pasta, and fruit salad

Answer 11

3. A low residue diet is a low fiber diet. Products made of refined flour or finely milled grains, along with roasted, baked, or broiled meats, are recommended.

Question 12

The client with ulcerative colitis is scheduled for an ileostomy. The nurse is aware the clients stoma will be located in which area of the abdomen?

1. Right lower quadrant
2. Left lower quadrant
3. Transverse colon
4. Right upper quadrant

Answer 12

1. The cure for ulcerative colitis is a total colectomy, which is removing he entire large colon and bringing the terminal end of the ileum up to the abdomen in the right lower quadrant. This is an ileostomy.