Author Question: A patient with Crohn disease is experiencing weight loss. What should be included in this patient's ... (Read 93 times)

washai · **on:** Jun 25, 2018

A patient with Crohn disease is experiencing weight loss. What should be included in this patient's plan of care?

1. a low-calorie, high-milk diet
2. a low-calorie, low-residue diet
3. a high-calorie, low-protein diet
4. a high-calorie, low-fat diet

Question 2

The nurse is preparing to assess a patient with diverticulitis. Which area of the patient's abdomen should the nurse expect to palpate a mass?

1. upper-right quadrant
2. lower-left quadrant
3. area of McBurney point
4. epigastric region

scrocafella · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
Provide a high-kilocalorie, high-protein, and low-fat diet, and restrict milk and milk products if lactose intolerance is present. The Crohn patient needs an elevation in calories related to the nutrients lost as a result of diarrhea. A high-calorie, low-protein diet (called the DASH diet) is appropriate for the patient wanting to lower elevated blood pressure.

Answer to Question 2

Correct Answer: 2
Diverticulitis can manifest as a palpable mass in the left lower quadrant as a result of the inflammatory response. A mass in the upper-right quadrant could involve a disorder of the liver or transverse colon. McBurney point is palpated to elicit rebound tenderness pain characteristic of appendicitis. A mass in the epigastric region could indicate a disorder of the stomach or pancreas.