A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?
Explain that the need to restrict fluids is the primary limitation.
Advise the client to limit foods that are high in calcium and iron.
Describe the use of an elimination diet to find trigger foods.
Instruct the client to avoid foods with gluten, such as wheat bread.
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.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is D
Explanation
Rationale:
A. Ketorolac is an anti-inflammatory medication that is not specifically contraindicated in the case of a chemical burn, but care should be taken.
B. There is no specific contraindication for ketorolac related to radiation exposure.
C. Ketorolac can be used in the presence of a foreign body, but caution is needed based on the type of injury.
D. A corneal abrasion is a condition where ketorolac may be contraindicated due to the risk of delayed healing; thus, reviewing the medical record for any history of corneal abrasion is crucial before administration.
Correct Answer is D
Explanation
Rationale:
A. While H. pylori can be related to gastrointestinal issues, it is not the primary focus in pancreatitis management, and urine output is less critical than pancreatic enzyme levels.
B. Assessing bowel sounds and abdominal pain is important, but specific laboratory results provide more concrete information regarding the condition.
C. Chronic constipation and serum gastrin levels are not directly relevant to acute pancreatitis.
D. The severity of nausea and vomiting, along with serum amylase results, directly indicates the status of pancreatitis, as elevated amylase levels are typically associated with this condition. This information is vital for guiding treatment decisions.