IBD NCLEX 4

Question 1

A client with ulcerative colitis is admitted with signs of toxic megacolon. Which assessment finding would the nurse most expect?

Accepted Answer

Abdominal rigidity with absent bowel sounds

Answer

Toxic megacolon presents with colonic dilation, abdominal rigidity, absent bowel sounds, fever, and hemodynamic instability.

Question 2

A client with Crohn's disease who is receiving total parenteral nutrition (TPN) develops a fever of 38.8°C with no other source of infection. The priority nursing action is to:

Accepted Answer

Obtain a blood culture from the TPN line and a peripheral site

Answer

A fever in a TPN client may indicate catheter-related bloodstream infection; paired cultures from the central line and peripheral site are required before line removal.

Question 3

A client with IBD is started on prednisone 60 mg daily. The nurse should monitor for which complication associated with this medication?

Accepted Answer

Hyperglycemia

Answer

Corticosteroids stimulate gluconeogenesis and reduce insulin sensitivity, causing hyperglycemia, especially in clients with diabetes or prediabetes.

Question 4

A client with IBD reports joint pain and swelling that worsens with IBD flares. The nurse recognizes this as which extraintestinal manifestation?

Accepted Answer

Peripheral arthropathy (Type 1)

Answer

Type 1 peripheral arthropathy affects large joints, is pauciarticular, parallels IBD disease activity, and resolves with IBD treatment.

Question 5

A nurse is preparing to administer an enema to a client with ulcerative colitis. Which type of enema is contraindicated in this population?

Accepted Answer

Soap suds enema

Answer

Soap suds enemas are irritating to the already-inflamed colonic mucosa and are contraindicated in ulcerative colitis.

IBD - Inflammatory Bowel Disease Practice Test

IBD - Inflammatory Bowel Disease Practice Test

IBD NCLEX 4