Following diagnosis of Crohn's disease, the nurse is explaining ...

[saliriagwu]

Following diagnosis of Crohn's disease, the nurse is explaining dietary modifications to the teenagers. The nurse would recommend: Standard Text: Select all that apply.
 
  1. Increased fiber in the diet to promote solid stools.
  2. Small, frequent feedings are preferred over three meals a day.
  3. Identify foods that cause distress and eliminate them from the diet.
  4. High-calorie dietary supplement shakes can help meet nutritional requirements.
  5. Socialization is important at mealtime no matter the dynamics.

Question 2

The nurse is teaching a group of parents about car safety. Which statement by a parent requires additional teaching?
 
  1. The safest place in the car for the baby is the middle of the back seat.
  2. I will use a rear facing car seat for my baby.
  3. I will take the car seat to the local police station for them to check placement and safety.
  4. For the trip home from the birth hospital, I will bucket myself in the back seat and hold the baby carefully. I am borrowing a car seat and should have it by my next trip out.

[vickybb89]

Answer to Question 1

2,3,4
Rationale 1: Fiber should be decreased, not increased, as diarrhea is one of the symptoms of Crohn's disease.
Rationale 2: This is correct information.
Rationale 3: This is individualizing the diet and is appropriate.
Rationale 4: This addition provides an easy way to meet the nutritional needs.
Rationale 5: Stress should be avoided at mealtimes.
Global

Answer to Question 2

4
Rationale 1: This is correct information and does not require additional teaching.
Rationale 2: This is correct information and does not require additional teaching.
Rationale 3: This is a safe practice and does not require additional teaching
Rationale 4: While the mother recognizes the need for the car seat, she hasn't shown adequate preparation. The baby should not be discharged without a car seat in the car. The nurse will want to reinforce the need for a car seat on every trip and may need to help the mother find a way to obtain a car seat for the trip home.
Global Rationale: