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.
Describe the use of an elimination diet to find trigger foods.
Advise the client to limit foods that are high in calcium and iron.
Explain that the need to restrict fluids is the primary limitation.
The Correct Answer is B
Choice A rationale:
While some individuals with Crohn's disease may find that avoiding gluten improves their symptoms, this is not a universal recommendation.
Gluten restriction is more often indicated for those with celiac disease or gluten sensitivity.
It's important to individualize dietary recommendations based on personal triggers and sensitivities.
Choice B rationale:
An elimination diet is a systematic approach to identifying foods that may trigger or worsen Crohn's disease symptoms.
It involves removing certain foods from the diet for a period of time, typically 2-4 weeks, and then gradually reintroducing them one at a time to observe any reactions.
This process can help individuals pinpoint specific foods that contribute to their symptoms and make informed dietary choices to manage their condition.
Choice C rationale:
There is no evidence to support a general restriction of calcium and iron in individuals with Crohn's disease.
In fact, these nutrients are essential for overall health and should be consumed in adequate amounts unless a specific deficiency or intolerance is identified.
Restriction of these nutrients could lead to nutritional deficiencies.
Choice D rationale:
Fluid restriction is not a primary dietary limitation for individuals with Crohn's disease.
Maintaining adequate hydration is crucial for overall health, especially during flares when fluid loss through diarrhea may be increased.
Restricting fluids could potentially lead to dehydration and electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While teaching the client about infection prevention measures is important, it is not the most crucial action in this situation. The client is already exhibiting symptoms and has potentially been spreading the virus.
Focusing on isolation at this point is a more effective way to prevent further transmission.
Additionally, the client may be too ill to fully comprehend or adhere to instructions regarding masks, handwashing, and social distancing.
Choice B rationale:
Isolation is the most essential action to prevent the spread of COVID-19 to others. This is because:
COVID-19 is highly contagious and can spread through respiratory droplets produced when an infected person coughs, sneezes, or talks.
Isolation physically separates the infected person from others, reducing the risk of transmission.
Proper PPE, such as gloves, gowns, masks, and eye protection, creates a barrier between the healthcare worker and the infectious droplets, further minimizing the risk of spread.
Choice C rationale:
Reporting the COVID-19 result to the local health department is important for tracking and managing the spread of the virus. However, it is not as immediate a priority as isolating the client to prevent further transmission.
Choice D rationale:
Counseling family members about monitoring for symptoms is also important for early identification and containment of potential cases. However, it does not directly address the immediate risk of transmission from the actively symptomatic client.
Correct Answer is ["38"]
Explanation
Here are the steps to calculate the IV flow rate:
Step 1: Calculate the volume to be infused per minute.
75 mL ÷ 30 minutes = 2.5 mL/minute
Step 2: Multiply the volume per minute by the drop factor to determine the drops per minute.
2.5 mL/minute × 15 gtt/mL = 37.5 gtt/minute
Step 3: Round the answer to the nearest whole number. The nurse should regulate the IV to deliver 38 gtt/minute.
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