The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease about dietary measures to implement during exacerbation episodes. Which statement made by the client indicates a need for further instruction?

“I need to increase the fiber in my diet.”

“I will need to avoid caffeinated beverages.”

“I’m going to learn some stress-reduction techniques.”

“I can have exacerbations and remissions with Crohn’s disease.”

Answer and Explanation

The Correct Answer is A

Choice A reason: Increasing fiber during Crohn’s exacerbation worsens diarrhea and inflammation, indicating a misunderstanding. A low-fiber diet is recommended, making this the correct statement needing further instruction, as it contradicts the nurse’s teaching on managing dietary needs during Crohn’s disease flare-ups.

Choice B reason: Avoiding caffeinated beverages is correct, as they stimulate the gut and worsen Crohn’s symptoms. This aligns with dietary teaching, making it incorrect, as it shows understanding, unlike the incorrect fiber statement requiring further instruction from the nurse.

Choice C reason: Learning stress-reduction techniques is appropriate, as stress can trigger Crohn’s exacerbations. This reflects understanding of self-management, making it incorrect, as it aligns with the nurse’s teaching, unlike the fiber statement indicating a need for further dietary instruction.

Choice D reason: Recognizing exacerbations and remissions is accurate for Crohn’s disease, showing disease knowledge. This aligns with the nurse’s education, making it incorrect, as it demonstrates understanding, unlike the fiber statement that requires further instruction to correct the client’s misconception.

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Correct Answer is C

Explanation

Choice A reason: Aggressive treatment continues curative care, not palliative care, which focuses on comfort. A DNR prioritizes comfort, making this incorrect, as it contradicts the nurse’s understanding of palliative care’s role in the patient’s treatment plan post-DNR.

Choice B reason: Stopping all treatment isn’t palliative care, which includes comfort measures like pain relief. Comfort without prolonging life is correct, making this incorrect, as it misrepresents the nurse’s expectation of continued supportive care under a DNR order.

Choice C reason: Palliative care with a DNR focuses on comfort, such as pain management, without prolonging life. This aligns with end-of-life care principles, making it the correct description of how the DNR and palliative care affect the patient’s treatment plan.

Choice D reason: Hospice transfer may occur later, but palliative care can begin in the hospital. Comfort care is immediate, making this incorrect, as it’s not the primary effect of the DNR compared to the nurse’s focus on current palliative treatment.

A. Eating leafy green vegetables with a glass of water. B. Eating apple slices with carrots. C. Eating a steak with mushrooms. D. Eating calf’s liver with a glass of orange juice.

Correct Answer is D

Explanation

Choice A reason: Leafy greens contain iron, but water doesn’t enhance absorption; vitamin C does. Calf’s liver with orange juice maximizes absorption, making this incorrect, as it lacks the vitamin C component the nurse should teach to improve iron uptake in anemia.

Choice B reason: Apples and carrots have minimal iron and no vitamin C to enhance absorption. Calf’s liver with orange juice is optimal, making this incorrect, as it doesn’t provide iron or absorption enhancers compared to the nurse’s teaching for iron deficiency anemia.

Choice C reason: Steak is iron-rich, but mushrooms don’t significantly enhance absorption like vitamin C. Orange juice with liver is better, making this incorrect, as it’s less effective than the nurse’s recommendation to pair iron with a vitamin C source for anemia.

Choice D reason: Calf’s liver is high in iron, and orange juice’s vitamin C enhances non-heme iron absorption. This aligns with nutritional education for iron deficiency anemia, making it the correct choice for the nurse to teach the client to improve iron absorption effectively.

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The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease about dietary measures to implement during exacerbation episodes. Which statement made by the client indicates a need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is educating a patient with iron deficiency anemia about food sources high in iron and how to enhance the absorption of iron when eating these foods. What can the nurse inform the client would enhance the absorption?

Correct Answer is D

Explanation

The nurse is providing discharge teaching for a client with newly diagnosed Crohn's disease about dietary measures to implement during exacerbation episodes. Which statement made by the client indicates a need for further instruction?

A client had a new colostomy created 2 days earlier and is beginning to pass malodorous flatus from the stoma. What is the correct interpretation by the nurse?

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