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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

Choice A rationale

 

Restricting fluids is not a primary limitation for clients with Crohn’s disease. Adequate hydration is important for overall health and managing symptoms.

 

Choice B rationale

 

Limiting foods high in calcium and iron is not typically recommended for Crohn’s disease. These nutrients are important for maintaining bone health and preventing anemia, which can be concerns for individuals with Crohn’s disease.

 

Choice C rationale

 

An elimination diet can help identify trigger foods that may exacerbate symptoms of Crohn’s disease. This approach involves removing certain foods from the diet and gradually reintroducing them to determine which foods cause symptoms.

 

Choice D rationale

 

Avoiding gluten is not necessary for all individuals with Crohn’s disease. While some may benefit from a gluten-free diet, it is not a universal recommendation for managing the condition.


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Correct Answer is C

Explanation

Choice A rationale

Topical antifungals are used to treat fungal infections and are not effective for psoriasis, which is an autoimmune condition.

Choice B rationale

Colloidal oatmeal-based lotion can help soothe the skin but does not address the underlying inflammation and scaling associated with psoriasis.

Choice C rationale

Topical corticosteroids are the mainstay of treatment for psoriasis. They help reduce inflammation, itching, and redness associated with psoriatic plaques.

Choice D rationale

Topical analgesics can help relieve pain but do not address the underlying inflammation and scaling associated with psoriasis.

Correct Answer is D

Explanation

Choice A rationale

Observing pupil response of the right eye is not relevant to the care of the left eye post-cataract extraction.

Choice B rationale

Sleeping flat in a supine position is not recommended as it can increase intraocular pressure. Elevating the head is advised.

Choice C rationale

Turning, coughing, and deep breathing every 2 hours is not specific to cataract surgery and can increase intraocular pressure.

Choice D rationale

Administering a stool softener is important to prevent straining during bowel movements, which can increase intraocular pressure and affect healing.

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