Question

A nurse is caring for a client with inflammatory bowel disease. When planning care for this client, which interventions take primary focus?

1) Maintain fluid balance
2) Encourage deep breathing and coughing
3) Monitor weight
4) Promote nutritional balance
5) Maintain skin integrity

Answer 1

For a client with inflammatory bowel disease (IBD), primary interventions include maintaining fluid balance, promoting nutritional balance, and maintaining skin integrity.

Step-by-step explanation:

When planning care for a client with inflammatory bowel disease (IBD), several interventions take primary focus.

1. Maintaining fluid balance is crucial for clients with IBD, as they often experience diarrhea, which can lead to dehydration. Adequate fluid intake helps prevent dehydration and maintains electrolyte balance.
2. Promoting nutritional balance is important to ensure that clients with IBD receive proper nutrients despite potential malabsorption issues. A combination of a well-balanced diet and the use of supplements may be necessary.
3. Maintaining skin integrity is another intervention that should be prioritized. Some clients with IBD may experience perianal skin breakdown or skin lesions due to frequent bowel movements or use of irritative products, so measures to protect the skin should be implemented.