A nurse is preparing to initiate enteral feedings for a client who has inflammatory bowel disease. The nurse should recognize that which of the following formulas is appropriate for this client?
Low-protein.
High-fiber.
Hydrolyzed.
Low-calorie.
The Correct Answer is C
The correct answer is choice C. Hydrolyzed.
Choice A rationale:
A low-protein formula is not typically recommended for clients with inflammatory bowel disease (IBD). Protein is essential for healing and maintaining muscle mass, especially in patients with chronic conditions like IBD. Therefore, reducing protein intake could be detrimental to their overall health.
Choice B rationale:
High-fiber formulas are generally not suitable for IBD patients, particularly during flare-ups. High fiber can exacerbate symptoms like diarrhea and abdominal pain by increasing bowel movements and irritation in the intestines.
Choice C rationale:
Hydrolyzed formulas are appropriate for clients with IBD because they contain proteins that are broken down into smaller peptides or amino acids, making them easier to digest and absorb. This can help reduce the workload on the intestines and minimize symptoms like malabsorption and inflammation.
Choice D rationale:
A low-calorie formula is not ideal for IBD patients, who often need adequate caloric intake to maintain their weight and nutritional status. Malnutrition is a common concern in IBD, so ensuring sufficient calorie intake is crucial for these patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Distended neck veins - Distended neck veins are typically associated with increased fluid volume or right-sided heart failure. In the case of dehydration, the fluid volume is reduced, and the veins are more likely to appear collapsed rather than distended.
Choice B rationale:
Tachycardia - Dehydration leads to a reduction in blood volume and a subsequent decrease in blood pressure. To compensate for this drop in blood pressure, the heart rate tends to increase. Tachycardia (an elevated heart rate) is a compensatory mechanism aimed at maintaining an adequate cardiac output despite reduced circulating blood volume.
Choice C rationale:
Hypertension - Dehydration typically leads to decreased blood volume, which in turn results in decreased blood pressure. Hypertension, or high blood pressure, is not a common finding in dehydration. Instead, low blood pressure (hypotension) is more likely.
Choice D rationale:
Decreased respiratory rate - Dehydration primarily affects the cardiovascular system, leading to reduced blood volume and subsequent compensatory mechanisms such as increased heart rate. The respiratory rate is not directly influenced by dehydration, so a decreased respiratory rate would not be a typical finding.
Correct Answer is D
Explanation
Choice A rationale:
Cheddar cheese does not contain a significant amount of potassium. It is a dairy product that is richer in calcium and fat than in potassium.
Choice B rationale:
Raw tomato contains some potassium, but it's not as high as the other options. It's a good source of vitamins and antioxidants, but for hypokalemia, more potassium-rich options are better.
Choice C rationale:
Brown rice contains moderate levels of potassium, but it is not as high as the potassium content in a baked potato.
Choice D rationale:
One small baked potato is a great source of potassium. Potatoes are known for their high potassium content, making them suitable for individuals with hypokalemia, as potassium is essential for proper muscle and nerve function.
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