Question

The nurse is giving dietary instructions to a client who has a new colostomy. The nurse should encourage the client to eat foods representing which diet for the first 4 to 6 weeks postoperatively?

1.Low fiber
2.Low calorie
3.High protein
4.High carbohydrate

Answer 1

A nurse should advise a client with a new colostomy to follow a balanced diet with a focus on high carbohydrates, supplemented with proteins, vitamins, and fats. Both soluble and insoluble fiber should be included, as well as high-protein foods for a quarter of each meal.

Step-by-step explanation:

The question concerns the dietary instructions a nurse should give to a client with a new colostomy for the first 4 to 6 weeks postoperatively. After a colostomy or an ileostomy, where the small intestine is sutured to the abdomen, it is essential to manage the diet to ensure proper digestion and avoid complications. The recommended diet should be balanced but should initially focus on high carbohydrates supplemented with proteins, vitamins, and fats.

Carbohydrates can be quickly broken down to glucose, providing immediate energy and thereby supporting cellular respiration and ATP production. Foods rich in soluble and insoluble fibers are crucial as they not only help in regulating bowel movement and blood glucose levels but also assist in removing excess cholesterol. Incorporating fiber-rich foods such as fruits, vegetables, and whole grains is beneficial, while refined carbohydrates should be minimized.

Additionally, ensuring that high-protein foods are included in about a quarter of each meal promotes overall nutritional health.