IBD NCLEX 3

Question 1

A client with IBD is prescribed metronidazole for a perianal fistula. The nurse should teach the client to avoid which substance?

Accepted Answer

Alcohol

Answer

Metronidazole causes a disulfiram-like reaction with alcohol, producing flushing, nausea, vomiting, and tachycardia.

Question 2

A nurse is caring for a client with Crohn's disease experiencing a flare. The client reports 10 bloody stools per day, fever of 39.2°C, and HR of 112 bpm. These findings are consistent with which complication?

Accepted Answer

Severe colitis

Answer

More than 6 bloody stools per day with systemic signs (fever, tachycardia) meets criteria for severe colitis requiring aggressive inpatient management.

Question 3

Which laboratory value is the most specific marker used to monitor intestinal inflammation in IBD clients without requiring colonoscopy?

Accepted Answer

Fecal calprotectin

Answer

Fecal calprotectin is a stool-based biomarker that directly reflects intestinal mucosal inflammation and is more specific to GI inflammation than CRP or ESR.

Question 4

A postoperative client who had a colectomy for ulcerative colitis develops fever, abdominal distension, and absent bowel sounds on day 3. The nurse suspects:

Accepted Answer

Anastomotic leak

Answer

Fever with abdominal distension after bowel surgery suggests anastomotic leak, a serious complication requiring immediate surgical evaluation.

Question 5

A client with IBD asks about the risk of colorectal cancer. The nurse correctly explains that colonoscopy surveillance should begin:

Accepted Answer

After 8–10 years of extensive colitis

Answer

Clients with extensive ulcerative colitis or Crohn's colitis have increased cancer risk and should begin surveillance colonoscopy after 8–10 years of disease.

IBD - Inflammatory Bowel Disease Practice Test

IBD - Inflammatory Bowel Disease Practice Test

IBD NCLEX 3