A patient with Crohn's disease is being discharged from the hospital. The nurse is providing dietary teaching to the patient. Which of the following statements by the patient indicates a correct understanding of the dietary recommendations?

I should eat only plant-based proteins to manage my symptoms.

I should avoid all sources of protein to prevent flare-ups.

I should follow a low-protein diet to reduce intestinal inflammation.

I should include high-protein foods like chicken and fish in my diet.

Answer and Explanation

The Correct Answer is D

A. I should eat only plant-based proteins to manage my symptoms: While plant-based proteins may be a part of the diet, limiting protein intake solely to plant-based sources is not necessary, and animal proteins like chicken and fish are recommended for tissue repair.

B. I should avoid all sources of protein to prevent flare-ups: Protein is necessary for healing and should not be completely avoided.

C. I should follow a low-protein diet to reduce intestinal inflammation: There is no evidence that a low-protein diet helps reduce inflammation in Crohn's disease. High-protein intake is beneficial.

D. I should include high-protein foods like chicken and fish in my diet. During active inflammation in Crohn's disease, a high-protein diet is important for healing and maintaining muscle mass, especially since malabsorption can be a concern.

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Correct Answer is B

Explanation

A. Costovertebral angle tenderness: Costovertebral angle tenderness is more indicative of pyelonephritis (kidney infection) rather than cystitis, as it signals an upper urinary tract infection.

B. Suprapubic tenderness: Suprapubic tenderness is a classic sign of cystitis. This symptom, combined with dysuria and increased urinary frequency, strongly supports the diagnosis.

C. Abdominal distention: Abdominal distention is not typically associated with cystitis. It may suggest other conditions like bowel obstruction or ascites.

D. Lower extremity edema: Lower extremity edema is not a common finding in cystitis. It is more associated with systemic conditions like heart failure or kidney disease.

A. A history of chronic headaches and migraines B. A history of gastrointestinal issues such as irritable bowel syndrome C. A history of cardiovascular problems such as hypertension D. A history of frequent urinary tract infections

Correct Answer is D

Explanation

A. A history of chronic headaches and migraines: While chronic headaches and migraines can affect overall health, they are not directly related to pyelonephritis.

B. A history of gastrointestinal issues such as irritable bowel syndrome: Gastrointestinal issues like irritable bowel syndrome (IBS) are generally unrelated to kidney function or urinary tract infections.

C. A history of cardiovascular problems such as hypertension: While hypertension can have indirect effects on renal function, it is not a common historical detail specifically associated with pyelonephritis.

D. A history of frequent urinary tract infections: Frequent urinary tract infections (UTIs) are a significant risk factor for developing pyelonephritis, as the infection can ascend from the bladder to the kidneys.

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A patient with Crohn's disease is being discharged from the hospital. The nurse is providing dietary teaching to the patient. Which of the following statements by the patient indicates a correct understanding of the dietary recommendations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female presents to the clinic with complaints of dysuria and increased urinary frequency. Which of the following findings on physical examination would most likely support a diagnosis of cystitis?

Correct Answer is B

Explanation

During the process of collecting a comprehensive medical history from a client who has been admitted with pyelonephritis, which of the following symptoms or historical details would the nurse most likely expect the client to report?

Correct Answer is D

Explanation

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