Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

Dairy products are encouraged.

Low roughage should be followed.

Protein foods are restricted.

No added salt is required.

Answer and Explanation

The Correct Answer is B

A. Dairy products are encouraged: Dairy products can exacerbate symptoms of IBD, particularly diarrhea, and are typically restricted in many patients with IBD.

B. Low roughage should be followed: A low-roughage (low-fiber) diet helps manage diarrhea and reduce irritation in the intestines for patients with IBD.

C. Protein foods are restricted: Protein is not typically restricted in IBD. In fact, patients may need higher protein intake to support healing and maintain nutrition.

D. No added salt is required: There is no specific indication that salt needs to be restricted unless the patient has other conditions (e.g., hypertension or edema). Generally, a balanced diet is encouraged unless otherwise specified by the provider.

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Correct Answer is A

Explanation

A. Decrease the client's fluid intake: In cirrhosis with ascites, the liver's ability to regulate fluid balance is impaired. Decreasing fluid intake helps prevent further accumulation of fluid in the abdomen (ascites).

B. Increase the client's sodium intake: Sodium intake should be restricted in patients with cirrhosis and ascites to reduce fluid retention and prevent worsening edema and ascites.

C. Decrease the client's carbohydrate intake: Carbohydrate intake is generally not restricted in cirrhosis unless there are concerns about hyperglycemia. It's important to maintain an adequate diet for the patient.

D. Increase the client's saturated fat intake: Increasing saturated fats is not appropriate in cirrhosis, as it can worsen liver damage and contribute to further complications. A balanced, low-fat diet is recommended instead.

A. Encourage turning, coughing, and deep breathing every 2 hours. B. Raise the knee gatch to prevent the patient from sliding down in bed. C. Provide undisturbed periods of 6 hours to encourage rest. D. Restrict fluids.

Correct Answer is A

Explanation

A. Encourage turning, coughing, and deep breathing every 2 hours: Bed rest increases the risk of respiratory complications like atelectasis and pneumonia, so encouraging turning, coughing, and deep breathing helps prevent these complications by improving lung ventilation.

B. Raise the knee gatch to prevent the patient from sliding down in bed: While this may help position the patient, it is not the priority action to prevent complications related to bed rest and hepatitis.

C. Provide undisturbed periods of 6 hours to encourage rest: While rest is important, prolonged periods without movement can lead to complications like pneumonia or pressure ulcers. Movement should still be encouraged.

D. Restrict fluids: Fluid restriction is not necessary for most hepatitis patients unless there are specific complications like ascites or severe edema. Fluid intake should generally be encouraged to prevent dehydration.

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Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Correct Answer is A

Explanation

What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

Correct Answer is A

Explanation

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