ATI Capstone Review Questions with correct Answers

ATI Capstone Review Questions with correct Answers Interventions for a patient with Hep B Plan to admin antiviral meds. Provide a diet high in carbs. Encourage to alternate between activity and rest. The providers that have the legal ability to give telephone medication orders anesthesiologist, physician assistant, nurse practitioner staff performance appraisal A formal system for conducting performance appraisals should be in place and used consistently. Performance appraisal tools should reflect the staff member's job description & can be based on various types of scales or surveys. Data should be collected over time. Actual observed behavior should be documented/used as evidence of satisfactory or unsatisfactory performance. Peers can be a valuable source of data. The performance appraisal review should be done in a private setting. The employee should be given the opportunity to provide input into the evaluation. Personal goals of the staff member should be discussed and documented, and avenues for attainment discussed. Staff members who do not agree with the unit manager's evaluation of their performance should have the opportunity to make written comments on the evaluation form and appeal the rating Provider Rx for DNR Unless a DNR prescription is written, the nurse should initiate CPR when a pt has no pulse or respirations. The written Rx must be placed in the pt's medical record Organ donation -Regulated by state and fed laws -requests for organ donation must be made by specifically trained personnel -Nurses are responsible for answering questions re the donation process & providing emotional support to family -maintain ventilatory and cardiovascular support for vital organ retrieval The nurse's responsibility regarding advance directives The nurse must ask and document the client's advance directive status upon admission. Ensure the advance directives are current and reflect the client's current decisions. Inform all members of the health care team of the client's advanced directive and provide written information regarding advance Directives to all clients. resuscitation phase of burn injury -this is the first phase -onset of injury to 24 to 48 hours -injury is evaluated -ABC's are maintained -watch fluids, edema, and blood flow The nurse should expect the client to have decrease in sodium levels because sodium is drawn to the edematous burn area and lost through plasma leakage; decrease in albumin due to a loss of protein from increased permeability of the vascular membranes at the burn site; an increase in hematocrit due to loss of fluid volume; hyperkalemia due to the release of potassium from destruction of tissue and red blood cells at the burn site. Alterations in speech -tangentiality: speaker does not continue to speak about the main topic but instead talks about subjects that do not relate to the main topic -flight of ideas: talks continuously with sudden, frequent topic changes -word salad: words mixed together with little meaning or significance to the listener or the speaker -preservation: speaker repeats phrases over and over to avoid answering questions Cause for visual loss in cataracts A cataract is a cloudy or opaque area in the lens of the eye that inhibits light penetration. Manifestations of hyperthyroidism sudden weight loss, tachycardia, hypertension, increased appetite, nervousness, anxiety or anxiety attacks, irritability, tremor (usually a fine trembling in the hands), diaphoresis, changes in menstrual patterns, increased sensitivity to heat, diarrhea, goiter, difficulty sleeping, and exophthalmos What is Hemophilia A? A hereditary disease where blood does not coagulate to stop bleeding. aPTT will be above the expected range of 30-40 sec A nurse is assessing for correct placement of a client's NG feeding tube prior to administering a bolus feeding. WOTF actions should the nurse take? The nurse should verify that the pH level of the client's gastric aspirate is less than 5 to determine proper placement of a client's NG feeding tube prior to administering a bolus feeding. Previous x-ray verification of placement does not validate current placement of the NG tube. Interventions for rheumatoid arthritis rest periods & support limbs affected cold therapy hot showers in a.m. to relieve stiffness mild exercise to keep ROM Clients who have rheumatoid arthritis require foods high in protein, vitamins, and iron to promote tissue repair. The nurse should encourage the client to increase their intake of dietary iron NSAIDs to relieve pain metered-dose inhaler patient teaching take the medication 15 minutes before playing sports wait at least 1 minute between inhalations clean the mouthpiece qd w/ warm water and soap A nurse is caring for a client who has immunosuppression and a continuous IV infusion. WOTF actions should the nurse take? monitor the patient's mouth at least q8h for manifestations of infection monitor IV site for infection q4h change IV tubing q24h Burkholderia cepacia a group of bacteria found in soil and water. It can cause serious respiratory infections in patients who are susceptible to illness requires contact isolation precautions, like CF. include a high-calorie, high-protein diet with unlimited fat in the child's plan of care. Children who have cystic fibrosis and experience an exacerbation of the disease require an increase in calorie consumption for daily living and to fight off infection. include daily activity in the child's plan of care. Exercise facilitates mucus excretion and can increase the child's self-esteem. Administer high-dose antibiotic therapy in the child's plan of care. Children who have cystic fibrosis metabolize antibiotics more rapidly and require higher doses of antibiotics to help fight aggressive infections such as Burkholderia cepacia A nurse is assessing an infant who has hydrocephalus and is six hours postoperative following placement of a ventriculoperitoneal (VP) shunt. WOTF findings should the nurse report to the provider? Heart Rate 122/min Irritability when being held Hypoactive bowel sounds Urine SG 1.018 The nurse should recognize that irritability is a manifestation of increased intracranial pressure, which is an indication that the VP shunt is malfunctioning. This finding should be reported to the provider immediately. Care of central lines Sterile Dressing Change. Infection Control Precautions. Prevent Clotting. daily weight measurement is a necessary part of administering nutrition through a central line to avoid fluid overload and monitor for adequate weight gain. change the client's IV tubing at least once every 24 hr Borderline personality disorder condition marked by extreme instability in mood, identity, and impulse control. The nurse should identify that clients who have borderline personality disorder tend to be emotionally unstable, have troubled interpersonal relationships, and often engage in harmful behaviors such as cutting, substance use, and suicidal ideation. DVT nursing interventions Patient on bedrest until anticoagulant is started to prevent pulmonary embolisms, monitor peripheral pulses, administer anticoagulants, elevate legs, apply warm moist packs aPTT activated partial thrombin time. Normal expected range is 30-40 seconds. Heparin therapeutic level is 60-80 INR international normalized ratio. Normal expected range is 2.5-3.5 Risk factors for osteoporosis Estrogen deficiency Age Glucocorticoid intake sedentary lifestyle Excessive alcohol intake Low body weight, cigarette smoking, rheumatoid arthritis, previous fracture, and parental history of hip fracture A nurse is caring for a group of clients. WOTF clients should she attend to first? An older adult pt who is anxious & attempting to pull out an IV line A middle adult pt who is nauseous after receiving pain medication An older adult pt who has kidney failure & returned from dialysis 4 hr ago A middle adult pt who has a terminal illness & requesting a visit from the chaplain A client who is anxious and attempting to pull out an IV line is at greatest risk for injury. Therefore, the nurse should attend to this client first. IM injections Max amt: 5 cc Usual site: deltoid (1 cc), ventrogluteal or vastus lateralis (5 cc) Angle: 90 degrees, Z track method Length: 1 - 1.5 in (1.5 in obese pts) Aspiration? Yes A nurse is caring for a pt who is receiving cont. bladder irrigation following a transurethral resection of the prostate. The pt reports bladder spasms, a & the nurse observes decreased u/o. WOTF actions should she take? Irrigate the cath. w/ 0.9% sodium chloride irrigation- Decreased urine output and bladder spasms indicate internal obstructions of the catheter. Therefore, the nurse should irrigate the catheter with 0.9% sodium chloride irrigation and notify the provider if the obstruction does not clear. How to provide cost effective care Delegating non-nursing tasks to ancillary staff is an effective method of providing high-quality, cost-effective care because this will allow additional time for nurses to focus on skilled tasks. Nursing actions to prevent transmission w/ a pt who has TB A client who has active TB should wear a surgical mask while being transported to prevent transmission of the disease. initiate airborne precautions wear an N95 or HEPA respirator Ensure visitors don proper airborne precaution PPE Romberg Test The nurse should inform the client that the Romberg test will be performed once with eyes open and once with eyes closed, w/ the pt standing with his feet together, and arms at his sides in a resting position. A Romberg test is performed to assess balance and motor function. Lead levels in a toddler The nurse should identify a blood lead level of 3 mcg/dL is within the expected reference range. The nurse should recommend rescreening in 1 year. The nurse should consider a referral to social services for a blood lead level greater than 5 mcg/dL. The nurse should contact the poison control center for a blood lead level that is greater than 20 mcg/dL The nurse should schedule chelation therapy for a blood lead level greater than 45 mcg/dL. A pt refuses a blood transfusion that can save their life. What action should the nurse take FIRST? The first action the nurse should take when using the nursing process is assessment. The nurse should gather more data regarding the client's decision to refuse the blood transfusion. Then respect the pt wishes. then document the refusal Hirschsprung disease hereditary condition of the large intestine (colon) that causes difficulty passing stool. involves missing nerve cells in the muscles of part or all of the colon. The nurse should assess the infant's abdomen for distention and visible peristalsis, which are manifestations of HD Nurse actions for a pt at high risk for pressure injuries When positioning the client in bed, the nurse should place the client in a 30° lateral position to relieve pressure on the sacral area. Clients who are at risk for pressure injury formation should shift their weight every 15 min. Quad cane use Stepping forward with the affected, or weaker, leg first demonstrates proper use of the quad cane. The nurse should instruct the client to place the cane 15 to 25 cm (6 to 10 in) in front of the body prior to stepping forward. The cane should always be placed on the unaffected, or stronger, side of the body. The nurse should instruct the client to step forward with the unaffected leg and place the foot past the quad cane for maximum support Manifestations of vitamin B12 deficiency Fatigue, pallor (d/t RBCs) Weight loss Constipation Decreased appetite Glossitis Neurologic changes- tingling, numbness neuropsychiatric disturbances Can lead to pernicious anemia (RBCs) Hydrocephalus in infants abnormal head growth , bulging fontanels that are tense , dilated scalp veins, separated sutures, frontal enlargement (bossing), sunset eyes, sluggish pupils, irritability (particularly w/movement or stimulation), lethargy, head lag Hydrocephalus is when the cerebrospinal fluid is not draining out of the infant's head properly due to a VP shunt malfunction. Brain damage can occur rapidly What is Cystic Fibrosis A genetic disorder that is present at birth and affects many organs w/ most impairment occurring to pancreatic and/or lung function. The underlying problem w/ CF is blocked chloride transport in the cell membranes, which causes the formation of mucus that has little water content & is thick. The thick sticky mucus causes problems in the lungs, pancreas, liver, salivary glands, and testes. Diagnosed via the sweat chloride analysis (60-200meq/L) CF non pulmonary manifestations pancreatic insufficiency, malnutrition, intestinal obstruction, poor growth, cirrhosis of the liver, meconium ileus, frothy, foul-smelling stool, delayed puberty in girls, sterility in boys, alkalosis, DM, weight loss, osteoporosis, ab. distention, GER, rectal prolapse, steatorrhea CF pulmonary manifestations -Poor mucociliary clearance leads to mucus plugging and infection -Chronic resp. tract infection, chronic bronchitis -lung abscesses are common -complications- pneumothorax, arteriole erosion, hemorrhage, resp. failure -Sx include: chest congestion, limited exercise tolerance, cough, sputum production, use of accessory muscles, decreased pulmonary function -Chest x-ray shows infiltrate & increased anteroposterior diameter -Labs show resp. acidosis w/ exacerbation With infection- elevated WBC, fever, decreased O2 sat, tachypnea, tachycardia Nursing actions for a patient going through alcohol withdrawal When taking action, the nurse should implement seizure precautions for a client who is experiencing withdrawals from alcohol because of the risk for seizures and alcohol withdrawal delirium. Withdrawal seizures can occur 12 to 24 hr after the cessation of alcohol. The nurse should assess the client's history of alcohol use because the client is exhibiting manifestations of alcohol withdrawal such as vital sign changes, agitation, nausea, and vomiting. The nurse should delegate for an AP to stay with the client to orient the client to reality if needed and to assist in keeping the client calm. The nurse should report the client's change in behavior to the provider to obtain the needed prescriptions to effectively care and treat the client. The nurse should offer orange juice or other sources of carbohydrates to prevent hypoglycemia because alcohol depletes the liver glucagon stores. The nurse should request a prescription for lorazepam to assist the client to relax and promote sleep to prevent peripheral vascular collapse. What is metabolic syndrome? A syndrome marked by the presence of usually three or more of a group of factors (as high blood pressure, abdominal obesity, high triglyceride levels, low HDL levels, and high fasting levels of blood sugar) that are linked to increased risk of cardiovascular disease and Type 2 diabetes. Wilms tumor a rare type of malignant tumor of the kidney that occurs in young children. Upon recognizing and analyzing cues of a unilateral mass on the child's abdomen, the nurse's priority hypotheses is that the client most likely has a Wilm's tumor and it is important to generate solutions and take actions to prepare the client for further testing to confirm the diagnosis. Therefore, the nurse should prepare the toddler for an MRI of the abdomen and monitor vital signs frequently. Wilm's tumors are more common with children who have a congenital anomalies. Clinical manifestations of a Wilm's tumor include a unilateral mass on the child's abdomen. Some children experience pain and fever. Other manifestations, such as shortness of breath and anemia, would appear if metastasis of the tumor has occurred. The nurse should monitor the toddler's blood pressure for hypertension, which would indicate excess renin excretion from the tumor and manifestations of anemia which would indicate a hemorrhage within the tumor. The best position for detecting a low-pitched diastolic murmur the left lateral recumbent position Common sites for HAIs Urinary tract, surgical wound, respiratory tract, blood stream Priority nurse action for a pt in labor and the umbilical cord protruding from the vagina and fetal HR is 50/min Placing the client in a knee-chest position will aid in keeping the pressure of the presenting part of the fetus off the cord. the greatest risk is the cessation of circulation to the fetus. Wrapping the cord in a towel saturated with 0.9% sodium chloride is an appropriate action for the nurse to take; however, there is another action the nurse should take first. narcissistic personality disorder characterized by a grandiose sense of self importance, preoccupation with fantasies of success, power and beauty, requires excessive admiration, has a sense of entitlement, lacks empathy, and displays arrogant behaviors. Antisocial personality disorder characterized by reckless disregard for self and others. Clients who have antisocial personality disorder also display impulsivity, deceitfulness, consistent irresponsibility, and lack of remorse. Borderline personality disorder characterized by unstable interpersonal relationships, emotional instability, impulsivity, unstable mood, and self image distortions. Electronic FHR tracing Early decelerations are caused from head compression. Variable decelerations are caused from cord compression, Late decelerations are caused from uteroplacental insufficiency. Prolonged decelerations are a decrease in the fetal heart rate of 15/min below baseline. Prolonged decelerations last more than 2 min but less than 10 min. This can result from maternal hypotension, umbilical cord prolapsed, placental rupture, placental hemorrhage, and tetanic contraction. Acute alcohol withdrawal Symptoms of acute alcohol withdrawal include tachycardia, hypertension, diaphoresis, disorientation, and hand tremors. These can progress to visual or tactile hallucinations, paranoid delusions, agitation, hyperthermia, and grand mal seizures. Acute alcohol is a medical emergency and can cause death if not treated with the appropriate interventions. Tachycardia indicates the client is in acute alcohol withdrawal and should be reported to the provider. Manifestations of an anastomotic leak post gastric bypass surgery When a gastric bypass is performed, the stomach, duodenum, and part of the jejunum are bypassed by surgically connecting the small intestine to a newly created stomach pouch. The leakage of gastric or intestinal fluids at this connection is an anastomotic leak and can result in peritonitis or death. Oliguria, or decreased urine production, is a finding consistent with peritonitis and can indicate the client is experiencing an anastomotic leak. Epiglottitis severe, life-threatening infection of the epiglottis and supraglottic structures that occurs most commonly in children between 2 and 12 years of age. Drooling, high fever, difficulty swallowing, stridor Reperfusion injury Return of blood to ischemic tissues resulting in inflammation; causes oxygen derived free radicals, further damaging tissues. Repeated process of ischemia and reperfusion results in pressure ulcers Risk factors for pressure ulcers - Sensory deficits - Excessive moisture- incontinence - Reduced mobility - Malnutrition - Friction and shear - Aging skin - Vascular disorders - Obesity - Anemia - Impaired cognitive functioning - Impaired circulation - Chronic diseases Stages of pressure ulcers ●Stage I - skin intact, non blanchable erythema, changes in skin temperature, swelling, discomfort. ●Stage II - partial thickness skin loss; red or pink skin; swelling; appearance of abrasion, blister, or crater; ●Stage III - full thickness tissue loss w/ necrosis of the subq tissue; deep, cratered ulcer; drainage; infection ●Stage IV - full thickness tissue loss w/ damage to underlying structures- bone, tendon, or muscle; eschar or slough Nursing interventions for pressure ulcers -Assess skin thoroughly at all times, Using Braden -MOBILIZE PATIENT- relieve pressure -Q2h turn in bed and Q1h in chair -Remove excessive moisture -Elevate bed to 30 degrees -Use lift sheets -Position with pillows or elbow and heel protectors. -Cleanse skin w/ a mild cleaning agent -Provide optimal hydration & nutrition 4 healing- 2 to 3 L/day, increased protein & calories Total Parenteral Nutrition (TPN) The administration of a solution that contains all or most of the daily nutrients and calories required for an individual. It bypasses the digestive tract & is given by a peripherally inserted cath. (PICC) line, central line, or port-a-cath. Used when pts have a bowel obstruction, intestinal absorption issues, fistulas, Crohn's disease, ulcerative colitis, or pancreatitis, cancer treatment, critical illness, & major surgery. Crohn's Disease Inflammatory bowel disease of the lower digestive tract; typically affects the ileum and the colon. Inflammation can spread deep into the layers of the colon and cause malnutrition, fluid & electrolyte imbalance or bowel obstruction. Symptoms can go thru periods of exacerbation & remission. Manifestations: diarrhea, fever, ab. pain & cramping, blood in stool, unexplained weight loss Tx can include TPN during exacerbations to allow bowels to rest and heal Nursing implications for TPN tx Assess VS, I&O, Daily weight, Lab values- albumin, electrolytes, glucose Monitor PICC site Change TPN bag and tubing q24h Avoid hypoglycemia if TPN is abruptly stopped by admin. Dextrose 10% solution Ensure NPO until orders for oral nutrition to be reintroduced HIV early manifestations Occur within 2-4 weeks of acquiring infection: chills, weakness/fatigue, anorexia, night sweats, rash, headache, sore throat HIV Targets CD4+T lymphocytes affecting the ability of the immune system to fight infection. 4 stages: Stage 1- acute, flu-like sx usually occurring 2-4 wks after infection acquired. CD4+ T 500 cells/mm. Stage 2- latency, HIV is still active but reproduces slowly, can last 8+ years. CD4+ T 200-499 Stage 3- AIDS, survival is 1-3 years in this stage. The body becomes susceptible to infections. CD4+ T 200 Droplet precautions Private room, mask, @ least 3' distance, hand hygiene SPIDERMAN! Sepsis, Scarlet fever, Streptococcal pharyngitis, Parvovirus, Pneumonia, Pertussis, Influenza, Diphtheria, Epiglottitis, Rubella, Mumps, Meningitis, Mycoplasma or Meningeal pneumonia, AdeNovirus Contact precautions Gown, gloves, private room, hand hygiene C-diff, scabies, MRSA Airborne precautions Private room w/ negative airflow, N95 mask, gown, gloves TB, coronavirus, varicella MRSA Staphylococcus Aureus is a normal flora that is found on 1/3 of people & generally harmless. It is w/ compromised skin surface or mucous membranes that this bacteria can cause infection that is resistant to many antibiotics & can lead to complications like pneumonia or sepsis. Can be spread by coming into contact w/ infected people or sharing personal items. Treated w/ vancomycin Clinical manifestations of MRSA to a wound w/ infection Pain, swelling, heat, erythema, purulent drainage. can develop systemically to include fever, chills, lymphadenopathy, GI disturbances, resp. complications, sepsis A nurse is caring for a client with a diagnosis of sepsis with a temperature of 40.8 C (105.5 F). The provider has ordered a cooling blanket. Which intervention is appropriate to delegate to an Unlicensed Assistive Personnel (UAP)? a. Bathe the client to keep the skin damp b. Report shivering by the client c. Obtain a fan for the client's use d. Assess the client's skin for any reddened Report shivering by the client. Obtain a fan for the client's use is INCORRECT. The use of fans is discouraged because they can disperse airborne or droplet transmitted pathogens. A fire in a first floor operating room is forcing evacuation of clients from a second floor unit to another building. Which of the following clients would have the highest priority for the charge nurse to evacuate? a. A client receiving IV antibiotics every six hours for a leg ulcer. b. A client admitted with pancreatitis with nasogastric tube and PCA pump in place. c. A client post left hip replacement of two days ago whose daughter is visiting. d. A client semi-comatose after a cerebrovascular accident with an indwelling urinary catheter. A client receiving IV antibiotics every six hours for a leg ulcer. A client post left hip replacement of two days ago whose daughter is visiting is INCORRECT. The client with the hip replacement would not move first because of the need for professional assistance when negotiating stairs to reach the ground floor and relocate to another building. In addition the client would probably tire before reaching the destination and need to sit down and rest. Although the daughter might be able to assist she might not have the skills to move the client alone. A nurse is caring for a client when the IV infusion pump malfunctions and delivers 1 Liter of IV fluid over 2 hours. Which intervention is the priority? a. Monitor urine output. b. Fill out an incident report. c. Report the defective equipment. d. Document the amount of fluid infused. Fill out an incident report. Monitor urine output is INCORRECT. This intervention is appropriate, but is not the priority. A newly-licensed nurse is preparing the surgical suite for a client who has a latex allergy. Which action demonstrates a need for further education? a. Covering IV tubing ports with tape. b. Placing monitoring devices in stockinet. c. Scheduling the case late in the day. d. Using glass syringes. Scheduling the case late in the day. Placing monitoring devices in stockinet is INCORRECT. This action is appropriate. All monitoring devices, cords/tubes (oximeter, blood pressure, electrocardiograph wires) should be placed in stockinet and be secured with tape to prevent direct skin contact. A nurse is orienting a newly licensed nurse to the operating room. Which of the following actions by the new nurse indicates a need for further education about surgical aseptic hand hygiene? a. Drying with a sterile towel moving from the hands to the elbows. b. Rinsing hands and arms while keeping them lower than elbows. c. Lathering hand and arms with soap to 5 cm (2 inches) above the elbows d. Cleaning under nails of both hands with a nail pick while under running water. Rinsing hands and arms while keeping them lower than elbows. Lathering hand and arms with soap to 5 cm (2 inches) above the elbows is INCORRECT. Arms should be lathered with soap to 5cm (2 inches) above the elbows. Washing a wide area reduces risk of contaminating overlying gown that the nurse later applies. A client has just returned to the surgical unit after an open cholestectomy. A nurse notes the abdominal dressing is saturated with sanguineous drainage. Which of the following is the most appropriate intervention? a. Document the assessment findings. b. Outline the drainage size with a marker. c. Remove the dressing to assess the incision. d. Reinforce the dressing with additional gauze. Reinforce the dressing with additional gauze. Outline the drainage size with a marker is INCORRECT. While marking the area of drainage on a dressing may be an appropriate intervention, it is not the most appropriate intervention for a dressing that is saturated with sanguineous drainage. Hospital policies may vary on the acceptability of this intervention. When the nurse takes morning medications to a client, the client states "I've never seen that one before." Which of the following is the most appropriate action for the nurse to take? a. Tell the client that the medication must be new and to go ahead and take it. b. Return to the nurse's station and check all medications against provider orders c. Recheck the medication with the medication administration record (MAR). d. Administer the rest of the medications and recheck the one that was questioned. Return to the nurse's station and check all medications against provider orders. Recheck the medication with the medication administration record (MAR) is INCORRECT. It is not sufficient to recheck the medications with the MAR; the MAR may be incorrect too. The provider order is the prime source for medication verification. A nurse is providing staff development. The nurse understands that which of the following may impede learning? a. Self-confidence. b. Intrinsic motivation. c. Proven learner. d. Self-directed. Self-confidence Self-directed is INCORRECT. Self-directed is an asset for learning. A hospital has been notified that possible bioterrorist activity has taken place at a large sporting event nearby. A nurse has been put in charge of preparing a holding area to meet the needs of victims who report headache, dizziness, anxiety and shortness of breath, and are noted to have a bitter almond odor to their breath. What medication should the nurse be prepared to administer? a. Cyanide vaccine b. Acetylcysteine c. Vitamin K d. Amyl Nitrate Amyl Nitrate- the symptoms are indicative of cyanide poisoning and amyl nitrate is used to treat this A nurse is caring for a client following a right below the knee amputation. Which of the following should the nurse include in the plan of care to prevent infection? a. Position the affected limb in a dependent position. b. Position the affected limb elevated on a pillow. c. Encourage the client to lie prone for 20-30 minutes several times a day. d. Encourage the client to lie supine for 20-30 minutes several times a day. Position the affected limb in a dependent position. Encourage the client to lie prone for 20-30 minutes several times a day. Incorrect: Encouraging the client to lie prone for 20-30 minutes several times a day will prevent contractures. It is not an action to take to decrease the risk of infection. Foods that are appropriate for Crohn's disease Tender, ground, well-cooked meat, eggs, fish, poultry, refined pasta and cereal, white rice and bread, canned or cooked vegetables without skin or seeds and juices without pulp. Low-fiber, low-residue diets are recommended Foods that do not digest completely leave fiber and residue in the GI tract are not recommended for clients with Chron's Disease. Those include: raw vegetables, dried fruits, rice/cereal/pasta made with whole wheat/bran/oats/flax/buckwheat.