1. Acute phase: Maintain NPO status and administer fluids and electrolytes intravenously or via parenteral nutrition as prescribed.
2. Restrict the client's activity to reduce intestinal activity.
3. Monitor bowel sounds and for abdominal tenderness and cramping.
4. Monitor stools, noting color, consistency, and the presence or absence of blood.
5. Monitor for bowel perforation, peritonitis, and hemorrhage.
6. Following the acute phase, the diet progresses from clear liquids to a low-fiber diet as tolerated.
7. Instruct the client about diet; usually a low-fiber, high-protein diet with vitamins and iron supplements are prescribed.
8. Instruct the client to avoid gas-forming foods, milk products, and foods such as whole wheat grains, nuts, raw fruits and vegetables, pepper, alcohol, and caffeine-containing products.
9. Instruct the client to avoid smoking.
10. Administer medications as prescribed , which may include a combination of medications such as salicylate compounds , corticosteroids, immunosuppressants, and antidiarrheals.