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 C
Explanation
Choice Arationale:
Rye toast with herbal tea is also not appropriate for someone with celiac disease. Rye bread contains gluten, and even though herbal tea is gluten-free, the combination with rye toast would still be harmful to the client.
Choice Brationale:
Graham crackers with peanut butter are not suitable for a client with celiac disease. Graham crackers are typically made from wheat flour, which contains gluten, a protein that individuals with celiac disease must avoid to prevent intestinal damage.
Choice C rationale:
The correct choice is rice cereal with sliced bananas. Rice cereal is naturally gluten-free and therefore safe for individuals with celiac disease. Sliced bananas can add flavor and nutrients to the meal without causing any harm to the client's condition.
Choice D rationale:
Poached eggs with wheat bagel is an unsuitable option. Wheat bagels contain gluten, which is harmful to individuals with celiac disease. Even though poached eggs are gluten-free, the risk of cross-contamination from the wheat bagel would be too high for this client.
Correct Answer is B
Explanation
Choice A rationale:
Providing sugar-free candy is not an appropriate action for managing chronic diarrhea. Sugar-free candy may contain artificial sweeteners, which could worsen diarrhea or have other gastrointestinal effects. Additionally, candy doesn't address the underlying cause of chronic diarrhea.
Choice B rationale:
Recommending that the client eliminate the intake of carbonated beverages is the correct choice. Carbonated beverages, especially those with added sugars or artificial sweeteners, can contribute to gastrointestinal irritation and exacerbate diarrhea. Avoiding these drinks can help reduce symptoms and promote better digestion.
Choice C rationale:
Instructing the client to increase the consumption of beans is not advisable. Beans are known to cause gas and bloating in some individuals, which could further worsen the client's symptoms of chronic diarrhea. Increasing bean consumption might aggravate gastrointestinal distress.
Choice D rationale:
Encouraging the client to drink 4 oz of milk after each loose stool is not a suitable approach. Milk, particularly in larger quantities, can have a laxative effect in some individuals, potentially worsening the diarrhea. This suggestion could lead to increased discomfort for the client.
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