A nurse is admitting a client who has an exacerbation of Crohn's disease. Which of the following provider orders should the nurse anticipate?

A. Begin bowel rest: During an acute exacerbation of Crohn’s disease, the inflamed intestinal mucosa benefits from reduced mechanical and chemical stimulation. Bowel rest, which may include NPO status or clear liquid intake, decreases peristalsis and allows the gastrointestinal tract to heal. This helps reduce diarrhea, abdominal pain, and nutrient loss during flare-ups. B. Administer ibuprofen for pain as needed: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can exacerbate intestinal inflammation and increase the risk of mucosal injury in clients with Crohn’s disease. These medications are generally avoided during active disease, and safer analgesics like acetaminophen or prescribed opioids are preferred. C. Initiate a high-fiber, low-lactose diet: High-fiber foods increase stool bulk and can aggravate intestinal inflammation during a Crohn’s exacerbation. Lactose restriction may be indicated only if the client is lactose intolerant. During acute flares, a low-residue, easily digestible diet is recommended rather than high-fiber foods. D. Weigh client weekly: Regular weight monitoring is important for long-term nutritional assessment in Crohn’s disease. However, during an acute exacerbation, more frequent weight checks are often necessary to detect rapid fluid or nutritional losses. Weekly weighing alone does not address immediate management priorities.