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A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

A.

Explain that the need to restrict fluids is the primary limitation.

B.

Advise the client to limit foods that are high in calcium and iron.

C.

Describe the use of an elimination diet to find trigger foods.

D.

Instruct the client to avoid foods with gluten, such as wheat bread.

Answer and Explanation

The Correct Answer is C

Rationale: 

 

A. While some clients may need to manage fluid intake based on their symptoms, it is not the primary dietary restriction for Crohn's disease. 

 

B. Clients with Crohn's disease often need to focus on nutrient-rich foods; limiting calcium and iron is not generally advised unless specific deficiencies are present. 

 

C. An elimination diet can help identify trigger foods that exacerbate symptoms, making this response appropriate and beneficial for managing Crohn's disease. 

 

D. Avoiding gluten is specifically related to celiac disease rather than Crohn's disease, as not all individuals with Crohn's need to eliminate gluten unless they have an associated gluten sensitivity.


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Correct Answer is A

Explanation

Rationale:

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B. Loperamide is an antidiarrheal medication and is not directly relevant to the treatment of H. pylori or contraindicated with the prescribed medications.

C. Ipratropium is a bronchodilator used for respiratory issues and is unrelated to H. pylori treatment.

D. Fargtidine, if intended to refer to a medication for gastrointestinal conditions, does not have direct relevance to the specific interactions that may arise with the prescribed regimen.

Correct Answer is D

Explanation

Rationale:

A. While assessing body temperature is important, it is not the most critical action prior to administering vancomycin.

B. Auscultating bowel sounds can provide information about gastrointestinal function but is not specifically required before administering vancomycin.

C. Measuring oxygen saturation is important in assessing respiratory status but is not related to the administration of vancomycin.

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