A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching?

A. Crohn's disease is more commonly associated with weight loss or difficulty maintaining weight due to symptoms such as decreased appetite, malabsorption, and increased metabolic demands from inflammation.
B. Glutamine is an amino acid that may have some benefits in certain medical conditions, but there is limited evidence to support its use in Crohn's disease management. Avoiding glutamine is not a standard recommendation for Crohn's disease.
C. Crohn's disease can cause diarrhea and bowel irregularities, but taking mild laxatives is not typically recommended as part of the management plan. In fact, laxatives may worsen symptoms in some cases.
D. Limiting the amount of fiber in the diet can help reduce gastrointestinal symptoms such as diarrhea, abdominal pain, and bowel obstructions, which are common in Crohn's disease.

Unpasteurized cheese: Contraindicated. Unpasteurized cheese carries a risk of containing harmful bacteria, which can pose a risk of infection, especially for immunocompromised individuals like those undergoing chemotherapy.

Grilled hot dog: Contraindicated. Grilled hot dogs may pose a risk of bacterial contamination, which can be harmful, especially for individuals with mouth sores and immunosuppression. High-calorie supplement drink: Safe. High-calorie supplement drinks can provide essential nutrients and calories, which can be beneficial for clients undergoing chemotherapy, especially if they have increased appetite.

Sushi: Contraindicated. Sushi may contain raw fish or other raw ingredients that can increase the risk of foodborne illness, which can be harmful for immunocompromised individuals.

Cold deli meat sandwich: Contraindicated. Cold deli meats may carry a risk of listeria contamination, which can be harmful, especially for individuals with weakened immune systems due to chemotherapy.