The nurse is caring for a client with Crohn’s disease. How should the nurse educate the client regarding nutrition and hydration?

  • Drink coffee each morning, as this can help stimulate the appetite.
  • Avoid enteral supplements, as they may decrease the appetite for solid foods.
  • Select high-calorie, low-fiber, high-protein, and high-vitamin foods for each meal.
  • Drink clear liquids as soon as they are tolerated, and then progress the diet rapidly in order to obtain needed nutrients.
Number 3 is correct.
Clients with Crohn’s must have adequate nutrition to promote wound and fistula healing and prevent loss of lean muscle mass. High-calorie, low-fiber, high-protein, and high-vitamin foods should be available at every meal to maximize nutritional benefits. Coffee should be avoided, since clients with Crohn’s should avoid caffeine. Enteral supplements may be given through a gastrostomy tube to supplement solid foods eaten by the client and should not cause a decrease in appetite. The diet should progress slowly, not rapidly.