Nur200 IBD Exam Questions with 100%
Correct Answers
How do you avoid flares in IBD?
-Take daily meds as prescribed
-High protein, NO roughage/fiber
-Identify trigger foods
-Small meals
-No caffeine and alcohol
-Supplement with liquid dietary supplements
-Manage stress
Nursing Actions for acute exacerbation of IBD
-Bowel rest, NPO
-Prevent skin breakdown
-Provide IV steroids
Treat Complications in IBD
-Bleeding hemorrhage, consider blood products
-Dehydration-IV fluids, stool count
-Electrolyte imbalances
-Malnutrition- monitor weight, consider TPN
Patient education for IBD for constipation
-Exercise (30 min walk)
-Abd massage
, -Warm bath
-Contact provider to r/o obstruction if symptoms continue
Sulfasalazine MoA
Coats the bowel to inhibit inflammatory process
Sulfasalazine contraindications
Sulfa allergy (antibiotics)
Sulfasalazine adverse effects
Nausea, fever, rash
Nursing actions for Sulfasalazine
Monitor CBC (anemia common), kidney and hepatic function
Patient Education for Sulfasalazine
-Take with water
-Avoid sun
-Increase fluid intake to 2L/day
-Urine/skin can turn orange
-Take a folic acid supplement
Adverse Affects of Steroids
-Risk of bushings with prolonged use
-Can slow healing/increase glucose
-Increase infection risk
-Can cause fluid weight gain
Immunomodulators
Correct Answers
How do you avoid flares in IBD?
-Take daily meds as prescribed
-High protein, NO roughage/fiber
-Identify trigger foods
-Small meals
-No caffeine and alcohol
-Supplement with liquid dietary supplements
-Manage stress
Nursing Actions for acute exacerbation of IBD
-Bowel rest, NPO
-Prevent skin breakdown
-Provide IV steroids
Treat Complications in IBD
-Bleeding hemorrhage, consider blood products
-Dehydration-IV fluids, stool count
-Electrolyte imbalances
-Malnutrition- monitor weight, consider TPN
Patient education for IBD for constipation
-Exercise (30 min walk)
-Abd massage
, -Warm bath
-Contact provider to r/o obstruction if symptoms continue
Sulfasalazine MoA
Coats the bowel to inhibit inflammatory process
Sulfasalazine contraindications
Sulfa allergy (antibiotics)
Sulfasalazine adverse effects
Nausea, fever, rash
Nursing actions for Sulfasalazine
Monitor CBC (anemia common), kidney and hepatic function
Patient Education for Sulfasalazine
-Take with water
-Avoid sun
-Increase fluid intake to 2L/day
-Urine/skin can turn orange
-Take a folic acid supplement
Adverse Affects of Steroids
-Risk of bushings with prolonged use
-Can slow healing/increase glucose
-Increase infection risk
-Can cause fluid weight gain
Immunomodulators
