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    HESI RN Med surg proctored exam 3

    A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

    Explanation & Rationale

    Choice A reason: Describing the use of an elimination diet to find trigger foods is appropriate for clients with Crohn's disease. An elimination diet helps identify foods that may cause or exacerbate symptoms, allowing the client to avoid them and manage their condition more effectively.Choice B reason: Instructing the client to avoid foods with gluten is not necessarily appropriate unless they have a confirmed gluten intolerance or celiac disease. Gluten avoidance is not a standard dietary restriction for Crohn's disease.Choice C reason: Advising the client to limit foods that are high in calcium and iron is not appropriate, as these nutrients are important for overall health. Clients with Crohn's disease may need to adjust their diet based on individual needs and deficiencies, but blanket limitations on calcium and iron are not recommended.Choice D reason: Explaining the need to restrict fluids is not a standard dietary recommendation for Crohn's disease. In fact, staying well-hydrated is important for managing the condition. Fluid restriction may be necessary in specific cases, but it is not a general guideline.

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