A nurse is reinforcing teaching with a client who has Crohn’s Disease and is experiencing frequent cramping and diarrhea. Which of the following statements should the nurse include in the teaching?

“Increase your caloric intake by eating foods high in protein.”

“Include fresh fruits and vegetables at each meal.”

“Maintain your weight by eating high fat foods.”

“Drink whole milk to ensure adequate calcium intake.”

Answer and Explanation

The Correct Answer is A

A. “Increase your caloric intake by eating foods high in protein.”

This is the appropriate choice. Increasing caloric intake with high-protein foods can help meet nutritional needs for individuals with Crohn's Disease, especially if malabsorption is a concern.

B. “Include fresh fruits and vegetables at each meal.”

While fresh fruits and vegetables are generally healthy, they may exacerbate symptoms in some individuals with Crohn's Disease, especially during flare-ups. It may be advisable to choose cooked or processed fruits and vegetables to minimize irritation.

C. “Maintain your weight by eating high-fat foods.”

This statement is not advisable. High-fat foods can contribute to symptoms such as cramping and diarrhea in individuals with Crohn's Disease. A well-balanced diet with an appropriate mix of nutrients is generally recommended.

D. “Drink whole milk to ensure adequate calcium intake.”

This statement is not advisable without considering individual tolerance. Whole milk is high in fat and may be difficult to digest for some individuals with Crohn's Disease. Additionally, if lactose intolerance is present, it may worsen symptoms. Alternative sources of calcium may need to be considered.

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Correct Answer is C

Explanation

A. “Turn each of your hands and forearms so your palm is facing down.”

This describes pronation, not supination. In pronation, the palm faces down, and the radius crosses over the ulna.

B. “Take each of your hands and touch your shoulders.”

This describes flexion at the elbow joint, not supination. Flexion involves decreasing the angle between body parts.

C. “Turn each of your hands and forearms so your palm is facing up.”

This is the correct choice. Supination involves turning the hands and forearms so that the palms face up, and the radius and ulna are parallel.

D. “Move each of your arms to rest at your sides.”

This describes adduction, bringing the arms back to the sides of the body, not supination.

A. Remind the client to tell the nurse when he has to urinate B. Use adult diapers to prevent frequent clothing changes. C. Take the client to the bathroom on an every-2-hr schedule. D. Request a prescription for an indwelling urinary catheter.

Correct Answer is C

Explanation

A. Remind the client to tell the nurse when he has to urinate.
Reminding the client may not be effective, as individuals with dementia may have difficulty expressing their needs or may forget to communicate when they need to use the bathroom. It relies on the client's ability to remember and communicate.

B. Use adult diapers to prevent frequent clothing changes.
While adult diapers can be part of a comprehensive plan for managing incontinence, they should not be the sole intervention. Relying solely on diapers does not address the underlying causes of incontinence and may not promote optimal dignity and quality of life.

C. Take the client to the bathroom on an every-2-hr schedule.
This is the correct choice. Taking the client to the bathroom on a regular schedule (timed voiding) is a proactive approach to managing urinary incontinence in individuals with dementia. It helps reduce the likelihood of accidents by ensuring regular opportunities for toileting.

D. Request a prescription for an indwelling urinary catheter.
Indwelling urinary catheters are generally not recommended for managing routine urinary incontinence due to the associated risks, including infection. Catheters should be used judiciously and based on medical necessity.

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A nurse is reinforcing teaching with a client who has Crohn’s Disease and is experiencing frequent cramping and diarrhea. Which of the following statements should the nurse include in the teaching?

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