Inflammatory Bowel practice questions Med Surg 3
A client with Crohn's disease is recovering from a fourth bowel resection and is being dismissed. The nurse determines that teaching goals have been met when the client indicates that s/he will watch for manifestations of
malabsorption syndrome
A 51-year-old male patient has a new diagnosis of Crohn's disease after having frequent diarrhea and a weight loss of 10 pounds (4.5 kg) over 2 months. The nurse will plan to teach about
medication use
Four hours after a bowel resection, a 74-year-old male patient with a nasogastric tube to suction complains of nausea and abdominal distention. The first action by the nurse should be to
reposition the tube and check for placement
In counseling a client with ulcerative colitis for 25 years about health maintenance plans, the nurse would include the advice that the client should
schedule regular proctoscopic examinations
A nurse reviews the electronic health record of a client who has Crohn disease with complaints of frequent diarrhea and weight loss of 10 pounds (4.5 kg) over 2 weeks. Which documentation would alert the nurse to urgently contact the primary health care provider for additional prescriptions?
serum potassium of 2.6 mEq/L
A 22-year-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective?
the patient uses witch hazel compresses to decrease irritation
A patient admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is the best choice for this patient?
tofu
Which information will the nurse include in teaching a patient who had a proctocolectomy and ileostomy for ulcerative colitis?
use care when eating high-fiber foods to avoid obstruction of the ileum
The nursing instructor is discussing ulcerative colitis with her clinical group. What would she tell her students about the characteristics of the stools of these patients?
watery with blood and mucus
The nurse plans care for a client with Crohn disease who has a heavily draining fistula. Which intervention would be the nurse's priority action?
antibiotic administration
When taking care of a patient with inflammatory bowel disease, you would expect the physician's orders to include what?
anticholinergic medications 30 minutes before a meal
A 13-year-old client with ulcerative colitis says, "I am so glad I will grow out of this disease. It's so embarrassing at school." Which action by the nurse would best address this statement?
ask the client to explain what he/she means
The nurse will plan to teach a patient with Crohn's disease who has megaloblastic anemia about the need for
cobalamin spray or injections (B12)
A 72-year-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse is most important to report to the health care provider?
crackles are heard anteriorly and posteriorly chest
When taking care of a patient with inflammatory bowel disease, you would expect the physician's orders to include what?
dehydration
A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stools a day. The nurse will plan to
discontinue the patient's oral food intake
To help a client with a new ostomy integrate its appearance into the client's body image, the home health nurse would
discuss clothing options that will hide the appliance
A nurse prepares to discharge a client who is newly diagnosed with a Crohn's Disease. Which questions would the nurse ask in preparation for discharge? (Select all that apply.)
does your gym provide yoga classes?, when should you contact your provider, what do you plan to eat for dinner, how many bathrooms are in your home?
A 24-year-old woman with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this patient?
fistulas can form between the bowel and the bladder
A nurse assesses a client who has ulcerative colitis and severe diarrhea. Which assessment would the nurse complete first?
heart rate and rhythm
The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease. Which assessment finding would the nurse expect?
high-pitched, rushing bowel sounds in the RLQ
Which patient statement indicates that the nurse's teaching about sulfasalazine for ulcerative colitis has been effective?
i will need to use sunscreen when outdoors
A patient with a history of Crohn's Disease is in the emergency department and has just been diagnosed with peritonitis caused by a ruptured colon. Which prescribed intervention will the nurse implement first?
infuse metronidazole (flagyl) 500mg IV
After teaching a client who is prescribed adalimumab for severe Crohn's Disease (CD), the nurse assesses the client's understanding. Which statement made by the client indicates a need for further teaching?
I will take this medication with my breakfast each morning
A patient is admitted to the unit you work on with a diagnosis of enterocutaneous fistula. What is this fistula secondary to?
crohn's disease
A nurse is caring for a patient with inflammatory bowel disease who is having an exacerbation and severe diarrhea. IV rehydration is in process. What would the nurse immediately report to the physician?
dysrhythmias
The nurse planning discharge teaching for a 71-year-old female patient with ulcerative colitis knows that an assessment related to the family will need to be done. What assessment finding related to the family will have the greatest impact on the patient's rehabilitation after discharge?
emotional support from the family
The nurse assesses a client with ulcerative colitis. Which complications are paired correctly with their physiologic processes? (Select all that apply.)
lower gastrointestinal bleeding- erosion of the bowel wall, abscess formation- localized pockets of infection develop in the ulcerated bowel lining, nonmechanical bowel obstruction- paralysis of colon resulting from colorectal cancer
