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.
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View Related questions
Correct Answer is D
Explanation
Rationale:
A. Fried rice is typically made with rice, which is gluten-free, so this option would generally be safe for a client with celiac disease unless it contains gluten-containing soy sauce.
B. Potatoes are naturally gluten-free and can be safely included in a gluten-free diet.
C. Corn chips can also be gluten-free, but it’s important to check the label for potential cross-contamination.
D. Oatmeal can often contain gluten due to cross-contamination during processing unless it is specifically labeled as gluten-free, indicating that further teaching is needed for the client regarding safe food choices.
Correct Answer is B
Explanation
Rationale:
A. While attaching humidification can be beneficial for patients with respiratory issues, the immediate priority is to assess the client's oxygenation status.
B. Obtaining a pulse oximetry reading is crucial to determine the client's oxygen saturation level and guide further interventions.
C. Coaching through huff coughing is helpful, but it is more important to first assess oxygenation to understand the severity of the dyspnea.
D. Providing a nebulizer treatment can be an important intervention, but it should follow the assessment of the client's oxygen levels to determine if immediate treatment is necessary.