A patient with Crohn's disease is demonstrating the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements. What intervention should the nurse include in this patient's plan of care?
1. A low-calorie, high-milk diet
2. A low-calorie, low-residue diet
3. The DASH diet
4. A normal, well-balanced diet
4
Rationale 1: The diet should provide sufficient calories and nutrients to support healing and maintenance of a healthy weight. Milk may or may not be restricted, depending on patient tolerance.
Rationale 2: The Crohn's patient needs an elevation in calories related to the nutrients lost as a result of diarrhea.
Rationale 3: The DASH diet is appropriate for the patient wanting to lower elevated blood pressure. It is a balanced diet but may have some restrictions not necessary for the patient with Crohn's disease.
Rationale 4: The patient with Crohn's needs sufficient calories and nutrients to retain a healthy weight. If a food is not tolerated, the patient is encouraged to eliminate it from the diet. As an example, some patients with Crohn's disease do not tolerate dairy products.
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