NCLEX Flashcards
7 cards from real IBD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 NCLEX flashcards as text
A client with Crohn's disease develops a fistula between the bowel and bladder. Which symptom should the nurse expect to assess?
Answer: Pneumaturia (air in urine)
An enterovesical fistula allows bowel gas and bacteria to enter the bladder, causing pneumaturia and recurrent UTIs.
A nurse is reviewing labs for a client with IBD who is on long-term sulfasalazine therapy. Which finding requires the most immediate follow-up?
Answer: Folate level 2.8 ng/mL (low)
Sulfasalazine inhibits folate absorption; a low folate level requires supplementation to prevent megaloblastic anemia and neural tube defects in pregnancy.
A client with ulcerative colitis undergoes a total proctocolectomy with ileostomy. On postoperative day 2, the nurse notes the stoma output is 1,800 mL in 8 hours. The priority nursing action is to:
Answer: Notify the provider and prepare to give IV fluids
High-output ileostomy (>1,200–1,500 mL/day) risks dehydration and electrolyte imbalance; IV replacement and provider notification are the priority.
Which dietary modification should the nurse teach a client with Crohn's disease affecting the terminal ileum?
Answer: Take B12 injections or supplements
The terminal ileum is the only site that absorbs vitamin B12, so Crohn's disease in that region impairs absorption and supplementation is necessary.
A nurse administers infliximab to a client with Crohn's disease. Thirty minutes into the infusion the client reports chest tightness and develops urticaria. The first action is to:
Answer: Stop the infusion and call the provider
Chest tightness and urticaria during a biologic infusion indicate an infusion reaction or anaphylaxis; the infusion must be stopped immediately and the provider notified.
A client with IBD has a serum albumin of 2.1 g/dL. What is the most likely clinical consequence the nurse should monitor for?
Answer: Peripheral edema from decreased oncotic pressure
Low serum albumin reduces plasma oncotic pressure, allowing fluid to shift into interstitial spaces and causing edema.
A client with ulcerative colitis is taking mesalamine suppositories. The client asks why suppositories are used instead of oral tablets. The nurse's best response is:
Answer: Suppositories deliver medication directly to the rectal mucosa where disease is active
Mesalamine suppositories deliver topical anti-inflammatory medication directly to the rectal mucosa, which is the primary site of disease in proctitis.