Following diagnosis of Crohn's disease, the nurse is explaining dietary modifications to the teenagers. The nurse would recommend: Standard Text: Select all that apply
1. Increased fiber in the diet to promote solid stools.
2. Small, frequent feedings are preferred over three meals a day.
3. Identify foods that cause distress and eliminate them from the diet.
4. High-calorie dietary supplement shakes can help meet nutritional requirements.
5. Socialization is important at mealtime no matter the dynamics.
2,3,4
Rationale 1: Fiber should be decreased, not increased, as diarrhea is one of the symptoms of Crohn's disease.
Rationale 2: This is correct information.
Rationale 3: This is individualizing the diet and is appropriate.
Rationale 4: This addition provides an easy way to meet the nutritional needs.
Rationale 5: Stress should be avoided at mealtimes.
Global
You might also like to view...
A nurse suspects that a client who is receiving a cephalosporin and has ingested alcohol may be experiencing a disulfiram-like reaction based on assessment of which of the following? Select all that apply
A) Flushing B) Respiratory difficulty C) Hypertension D) Vomiting E) Sweating
A patient is admitted to the labor unit with contractions 1–2 minutes apart lasting 60–90 seconds. The patient is apprehensive and irritable. This patient is most likely in what phase of labor?
1. Active 2. Transition 3. Latent 4. Second
A client prescribed verapamil (Calan) asks the nurse if it is okay to take herbal supplements with the prescription. Which response should the nurse provide the client?
A. "Some herbal supplements may interact with your prescription." B. "Using herbal supplements may increase your blood pressure too much." C. "Herbal supplements are okay as long as you take calcium salts with them." D. "Most herbal supplements are okay, but you should avoid St. John's wort."
The patient has a deep vein thrombosis (DVT) and is admitted for initial heparin therapy. Which orders would the nurse want to validate with the physician?
1. Heparin 1000 units intravenous (IV) every 6 hours 2. Tylenol as needed (PRN) for headaches 3. Obtaining a daily weight on the patient 4. Advil as needed (PRN) for headaches 5. Low vitamin K diet