What information should the nurse include when teaching an adolescent with Crohn disease (CD)?
a. How to cope with stress and adjust to chronic illness
b. Preparation for surgical treatment and cure of CD
c. Nutritional guidance and prevention of constipation
d. Prevention of spread of illness to others and principles of high-fiber diet
ANS: A
CD is a chronic illness with a variable course and many potential complications. Guidance about living with chronic illness is essential for adolescents. Stress management techniques can help with exacerbations and possible limitations caused by the illness. At this time, there is no cure for CD. Surgical intervention may be indicated for complications that cannot be controlled by medical and nutritional therapy. Nutritional guidance is an essential part of management. Constipation is not usually an issue with CD. CD is not infectious, so transmission is not a concern. A low-fiber diet is indicated.
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