The nurse expects to alter Jessica's oral intake in what way when toxic megacolon is suspected?

• A. Jessica should be NPO
• B. Jessica should be given clear liquids only
• C. Jessica should be given full liquids only
• D. Jessica should be encouraged to eat any foods she can tolerate

Answer: (A)

When toxic megacolon is suspected, the priority is to rest the bowel and minimize intraluminal content to prevent further distention and potential perforation. Keeping Jessica NPO (nothing by mouth) achieves this by eliminating oral intake, which reduces stool, gas, and fecal load that can worsen dilation. In this situation, management also typically includes IV fluids and electrolyte correction, with bowel decompression if needed and close monitoring; antibiotics may be used if infectious colitis is suspected, and surgical evaluation is considered if the condition worsens or perforation occurs.

Providing any oral intake, even clear liquids or full liquids, would stimulate the bowel and increase distention, heightening the risk of perforation. Encouraging to eat foods would have the same effect and is inappropriate in this context.