NSG 233 MED SURG 3 EXAM 4 EXAM PREP
QUESTIONS AND SOLUTIONS 2026 TESTED
AND VERIFIED
◉ What nursing diagnoses are related to inflammatory bowel
disease? Answer: 1) Diarrhea r/t the inflammatory process.
2) Acute pain r/t increased peristalsis and GI inflammation.
3) Deficiency fluid volume r/t anorexia, nausea, and diarrhea.
4) Imbalanced nutrition: less than body requirements r/t dietary
restrictions, nausea, and malabsorption.
5) Activity intolerance r/t generalized weakness.
6) Anxiety related to impending surgery.
7) Ineffective coping related to repeated episodes of diarrhea.
8) Risk for impaired skin integrity related to malnutrition and
diarrhea.
9) Deficient knowledge concerning the process and management of
disease.
◉ What are potential complications of inflammatory bowel disease?
Answer: -Electrolyte imbalance
-Cardiac dysthymias related to electrolyte imbalances
-GI bleeding with fluid volume loss
,-Perforation of the bowel
◉ What are the major goals for the patient with inflammatory bowel
disease? Answer: 1) Attainment of normal bowel elimination
patterns
2) Relief of abdominal pain and cramping
3) Prevention of fluid & volume deficit
4) Maintenance of optimal nutrition and weight.
5) Avoidance of fatigue
6) Reduction of anxiety
7) Promotion of effective coping
8) Absence of skin breakdown
9) Increased knowledge about the disease process and self-health
management
10) Avoidance of complications.
◉ How does the nurse assist the patient with IBD with maintaining
normal elimination patterns? Answer: -Assist patient in determining
if there is a relationship b/w diarrhea and certain foods, activities,
or emotional stressors.
-Identify precipitating factors, frequency of BMs, character,
consistency, and amount.
-Provide ready access to the bathroom, keep the environment
clean/odor free.
,-Administer antidiarrheal meds as prescribed.
-Record frequency and consistency of stools after therapy is
initiated.
◉ How does the nurse help the patient with IBD relieve their pain?
Answer: -Pain is described as dull, burning, or crampy.
-Ask about onset (before/after meals? Night or before elimination?
Constant or intermittent? Relieved with medications?)
-Administer analgesic prescribed for pain.
-Positional changes
-Local application of heat as prescribed
-Diversional activities
-Prevention of fatigue
◉ How does the nurse help the patient with IBD maintain fluid
intake? Answer: -Keep an accurate record of I&Os.
-Monitor daily weights
-Assess for signs of fluid volume deficit: dry skin & mucous
membranes, decreased skin turgor, oliguria, fatigue, decreased
temperature, increased hematocrit, elevated urine specific gravity,
hypotension.
-Encourage oral intake of fluids
-Monitor flow rate of any IV fluids
, -Initiate measures to decreased diarrhea: dietary restrictions, stress
reduction, antidiarrheal agents.
◉ How does the nurse help the patient with IBD to maintain optimal
nutrition? Answer: Parenteral nutrition is indicated with Crohn's
disease and severe malnutrition and intolerance to enteral nutrition
and are expected to remain intolerant for more than 1-2 weeks:
-Maintain accurate record of fluid I&Os and daily weight (should
gain 0.5kgs daily).
-Monitor blood glucose every 6 hours.
Oral elemental feedings are high in protein, low in fat and residue,
are primarily digested in the jejunum, do not stimulate intestinal
secretions, and allow the bowel to continue to rest.
-Intolerance: N/V/D, abdominal distention.
Oral foods once tolerated:
-Small, frequent, low-residue feedings to avoid over distending the
stomach and stimulating peristalsis.
-Restrict activity to conserve energy, reduce peristalsis, and reduce
caloric requirements.
◉ How does the nurse promote rest for the patient with IBD?
Answer: -Encourage activity within the limit's of the patient's
capacity.
QUESTIONS AND SOLUTIONS 2026 TESTED
AND VERIFIED
◉ What nursing diagnoses are related to inflammatory bowel
disease? Answer: 1) Diarrhea r/t the inflammatory process.
2) Acute pain r/t increased peristalsis and GI inflammation.
3) Deficiency fluid volume r/t anorexia, nausea, and diarrhea.
4) Imbalanced nutrition: less than body requirements r/t dietary
restrictions, nausea, and malabsorption.
5) Activity intolerance r/t generalized weakness.
6) Anxiety related to impending surgery.
7) Ineffective coping related to repeated episodes of diarrhea.
8) Risk for impaired skin integrity related to malnutrition and
diarrhea.
9) Deficient knowledge concerning the process and management of
disease.
◉ What are potential complications of inflammatory bowel disease?
Answer: -Electrolyte imbalance
-Cardiac dysthymias related to electrolyte imbalances
-GI bleeding with fluid volume loss
,-Perforation of the bowel
◉ What are the major goals for the patient with inflammatory bowel
disease? Answer: 1) Attainment of normal bowel elimination
patterns
2) Relief of abdominal pain and cramping
3) Prevention of fluid & volume deficit
4) Maintenance of optimal nutrition and weight.
5) Avoidance of fatigue
6) Reduction of anxiety
7) Promotion of effective coping
8) Absence of skin breakdown
9) Increased knowledge about the disease process and self-health
management
10) Avoidance of complications.
◉ How does the nurse assist the patient with IBD with maintaining
normal elimination patterns? Answer: -Assist patient in determining
if there is a relationship b/w diarrhea and certain foods, activities,
or emotional stressors.
-Identify precipitating factors, frequency of BMs, character,
consistency, and amount.
-Provide ready access to the bathroom, keep the environment
clean/odor free.
,-Administer antidiarrheal meds as prescribed.
-Record frequency and consistency of stools after therapy is
initiated.
◉ How does the nurse help the patient with IBD relieve their pain?
Answer: -Pain is described as dull, burning, or crampy.
-Ask about onset (before/after meals? Night or before elimination?
Constant or intermittent? Relieved with medications?)
-Administer analgesic prescribed for pain.
-Positional changes
-Local application of heat as prescribed
-Diversional activities
-Prevention of fatigue
◉ How does the nurse help the patient with IBD maintain fluid
intake? Answer: -Keep an accurate record of I&Os.
-Monitor daily weights
-Assess for signs of fluid volume deficit: dry skin & mucous
membranes, decreased skin turgor, oliguria, fatigue, decreased
temperature, increased hematocrit, elevated urine specific gravity,
hypotension.
-Encourage oral intake of fluids
-Monitor flow rate of any IV fluids
, -Initiate measures to decreased diarrhea: dietary restrictions, stress
reduction, antidiarrheal agents.
◉ How does the nurse help the patient with IBD to maintain optimal
nutrition? Answer: Parenteral nutrition is indicated with Crohn's
disease and severe malnutrition and intolerance to enteral nutrition
and are expected to remain intolerant for more than 1-2 weeks:
-Maintain accurate record of fluid I&Os and daily weight (should
gain 0.5kgs daily).
-Monitor blood glucose every 6 hours.
Oral elemental feedings are high in protein, low in fat and residue,
are primarily digested in the jejunum, do not stimulate intestinal
secretions, and allow the bowel to continue to rest.
-Intolerance: N/V/D, abdominal distention.
Oral foods once tolerated:
-Small, frequent, low-residue feedings to avoid over distending the
stomach and stimulating peristalsis.
-Restrict activity to conserve energy, reduce peristalsis, and reduce
caloric requirements.
◉ How does the nurse promote rest for the patient with IBD?
Answer: -Encourage activity within the limit's of the patient's
capacity.
