Medical Surgical Crohn’s vs Ulcerative Colitis #1

Question

A client with Crohn’s disease requires additional instruction on corticosteroid use. Which information does the nurse give the client prescribed long-term corticosteroid therapy? Select all that apply.

Answers

  1. Expect some weight gain
    • Rationale:

      This answer is correct because corticosteroid therapy is associated with weight gain; therefore, it is appropriate for the nurse to include this information in teaching.

  2. Avoid aspirin and other the counter drugs
    • Rationale:

      This answer is correct because aspirin and other over-the-counter medications should be avoided as many exacerbate symptoms of Crohn’s disease. Clients who have taken aspirin for several years have a higher risk of developing Crohn’s disease.

  3. You may stop the medication if you have a sore throat
    • Rationale:

      The client should never stop the medication suddenly or change the dosage as this can lead to symptoms of withdrawal. Corticosteroids affect the immune system and the client may have a higher risk for infection.

  4. Maintain a diet with high protein, calcium, and vitamin D
    • Rationale:

      This answer is correct because a diet rich in protein, calcium, and vitamin D decreases the likelihood of developing osteoporosis which may occur due to long-term corticosteroid therapy.

  5. Bruising easily
    • Rationale:

      This answer is correct because long-term steroid use causes thinning of the skin. This is a result of the corticosteroids inhibiting endothelial cell production, which leads to easy bruising.

Overview

Crohn’s disease is a type of inflammatory bowel disease (IBD). Crohn’s disease can cause abdominal pain, weight loss, malnutrition, severe diarrhea, and fatigue.

Explanation

Learning Outcomes

Clients who are diagnosed with Crohn’s disease may experience abdominal pain, diarrhea, fatigue, malnutrition and weight loss. Because symptoms are caused by inflammation, many clients are prescribed long-term corticosteroid therapy. The nurse must educate the client regarding what to expect based on the prescribed therapy. Instructions should include information about some weight gain, avoiding aspirin and other OTC drugs, and maintaining a diet high in protein, calcium, and vitamin D.

Test Taking Tip

When answering select all that apply (SATA) questions, consider each statement as true or false.

Video Rationale