A nurse is caring for a client who has ulcerative colitis and was admitted to the medical-surgical unit for management of diarrhea. Which of the following food items should the nurse select for the client's breakfast tray?
Explanation & Rationale
A. Oatmeal is incorrect. Oatmeal is high in soluble fiber, which can increase stool bulk and worsen diarrhea during a flare of ulcerative colitis. While fiber is normally beneficial, during active disease, a low-residue diet is preferred to minimize irritation and reduce bowel frequency. B. Whole grain toast is incorrect. Whole grains are rich in insoluble fiber, which stimulates bowel movements and can aggravate abdominal cramping and diarrhea. During acute exacerbations of ulcerative colitis, foods that are low in fiber are recommended to allow the colon to rest and heal. C. Poached egg is correct. Eggs are low-residue, easily digestible, and a good source of high-quality protein, which supports healing and tissue repair. Poaching the egg avoids added fat from frying, which can sometimes worsen diarrhea. Low-residue, soft foods like eggs, yogurt, and cooked vegetables are generally well-tolerated during flare-ups. D. Fresh peaches is incorrect. Raw fruits are high in fiber and natural sugars (fructose), which can exacerbate diarrhea and gas. If fruit is included, it should be peeled, canned, or cooked to reduce fiber content and improve tolerance.