NUR 326 IBD and CROHNS 123

In planning care for the patient with Crohn's disease, the nurse recognizes that a major difference between ulcerative colitis and Crohn's disease is that Crohn's disease

• frequently results in toxic megacolon

• causes fewer nutritional deficiencies than ulcerative colitis

• often recurs after surgery, whereas ulcerative colitis is curable with a colectomy

• is manifested by rectal bleeding and anemia more often than is ulcerative colitis

A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority?

• Client reports difficulty sleeping

• The client's urine is positive for glucose

• Client reports having an elevated body temperature

• Client reports gaining 4 lb in the last 6 months

A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching?

• Decrease intake of calorie-dense foods

• Drink canned protein supplements

• Increase intake of high fiber foods

• Take a bulk-forming laxative daily

A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching?

• "I will plan to limit fiber in my diet"

• "I will restrict fluid intake during meals"

• "I will switch to black tea instead of drinking coffee"

• "I will try to eat three moderate to large meals a day"

A nurse is caring for a client who has ulcerative colitis. The provider prescribes bed rest with bathroom privileges. When the client asks why he has to stay in bed, how should the nurse respond to explain the most important reason for this prescription?

• "You need to conserve energy at this time"

• "Lying quietly in bed helps slow down the activity in your intestines"

• "Staying in bed helps promote the rest and comfort you need"

• "Staying in bed will help prevent injury and minimize your fall risk"

A nurse is caring for a client who has acute exacerbation of Crohn's disease. Which of the following actions should the nurse take?

• Ensure bowel rest

• Offer sparkling water frequently

• Administer a stool softener

• Offer plain, warm tea frequently

What part of the GI system can Crohn's affect?

• Esophagus

• Stomach

• Large Intestine

• All of these