A client with newly diagnosed Crohn’s disease asks the nurse about dietary restrictions. How should the nurse respond?
Instruct the client to avoid foods with gluten, such as wheat bread
Explain that the need to restrict fluids is the primary limitation
Advise the client to limit foods that are high in calcium and iron
Recommend a personalized diet plan with a dietitian
The Correct Answer is D
Choice A reason: Avoiding gluten is specific to celiac disease, not Crohn’s, which involves inflammatory bowel disease without gluten sensitivity. Gluten restriction does not address Crohn’s mucosal inflammation, and this instruction misguides the client, as dietary triggers vary, requiring individualized management.
Choice B reason: Restricting fluids is incorrect, as Crohn’s patients need adequate hydration to manage diarrhea and prevent dehydration. Fluid restriction exacerbates electrolyte imbalances, worsening symptoms, making this an inappropriate recommendation for Crohn’s dietary management, which focuses on symptom-specific adjustments.
Choice C reason: Limiting calcium and iron is not standard for Crohn’s, as these nutrients support bone health and anemia prevention, common concerns in inflammatory bowel disease. This restriction could worsen deficiencies without addressing inflammation, making it an incorrect dietary focus for Crohn’s.
Choice D reason: Recommending a personalized diet plan with a dietitian is correct, as Crohn’s dietary triggers vary, requiring tailored plans to avoid exacerbating inflammation. Dietitians identify specific irritants, like high-fiber foods, ensuring nutritional balance while minimizing symptoms, making this the best approach for effective management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A positive PPD skin test indicates TB exposure but not active disease, as it detects immune response to TB antigens. False positives occur in vaccinated or previously exposed individuals, making it insufficient to confirm active TB, requiring sputum culture for definitive diagnosis.
Choice B reason: Chest x-ray or CT shows lung abnormalities suggestive of TB, like cavitary lesions, but is not confirmatory. Imaging supports diagnosis but cannot identify Mycobacterium tuberculosis, making sputum culture the gold standard for confirming active infection, as imaging lacks specificity.
Choice C reason: Sputum culture positive for Mycobacterium tuberculosis confirms TB, as it directly isolates the pathogen. This test identifies active infection with high specificity, distinguishing TB from other lung diseases, making it the definitive diagnostic tool to review for accurate diagnosis and treatment.
Choice D reason: Hemoccult test on sputum detects blood, indicating hemoptysis, a TB symptom, but not the pathogen. It does not confirm TB, as bleeding can occur in other conditions, making sputum culture essential for identifying Mycobacterium tuberculosis and confirming the diagnosis.
Correct Answer is B
Explanation
Choice A reason: Offering mouthwash may irritate painful candidiasis ulcers in AIDS, as alcohol-based solutions exacerbate discomfort. While cleansing is important, a soft-bristled toothbrush is gentler, effectively cleaning without worsening mucosal damage, making this choice less appropriate for oral care.
Choice B reason: Providing a soft-bristled toothbrush is correct, as it gently cleans the mouth without irritating painful candidiasis ulcers in AIDS. Soft bristles minimize trauma to inflamed mucosa, promoting hygiene and comfort, making this the best instruction for safe and effective oral care by the UAP.
Choice C reason: Leaving oral care to the nurse is unnecessary, as UAPs can perform oral hygiene with proper instruction. Delegating soft-bristled toothbrush use ensures safe care for candidiasis, and reserving this task for nurses limits efficiency without clinical justification, making this choice incorrect.
Choice D reason: Wearing sterile gloves is excessive, as candidiasis is opportunistic, not requiring sterile technique. Standard precautions with clean gloves suffice for oral care in AIDS, as sterile gloves are reserved for invasive procedures, making this instruction inappropriate for routine mucosal cleansing.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.