Question

The nurse is providing dietary instructions to a client with a diagnosis of irritable bowel syndrome. The nurse determines that education was effective if the client states the need to avoid which food?

1.Rice
2.Corn
3.Broiled chicken
4.Cream of wheat

Answer 1

For a client with irritable bowel syndrome, avoiding cream of wheat is advisable due to its potential gluten content, which may exacerbate symptoms. Whole grains like rice and protein sources such as broiled chicken are usually safe and are less likely to cause discomfort.

Step-by-step explanation:

In determining which foods to avoid for someone with irritable bowel syndrome (IBS), it is essential to consider foods that may act as irritants or may be difficult to digest. Foods high in fructans, a form of oligosaccharides, can be problematic, as they are known to be fermentable fibers that could exacerbate symptoms of IBS. Gluten-containing foods may also cause irritation, not just for those with celiac disease but in some individuals with IBS as well.

The most likely food to avoid, among the options provided, would be cream of wheat. This is due to its potential gluten content, which can lead to abdominal discomfort in sensitive individuals. Rice and corn, particularly in their whole form, can be good sources of insoluble fiber and nutrients without the same level of risk for aggravating IBS symptoms. Broiled chicken is a high-protein food and does not generally contribute to IBS discomfort.

Overall, a diet for someone with IBS should include a variety of grains like rice, oats, and wheat (provided gluten is not an irritant), fruits, vegetables, lean proteins such as chicken and fish, and healthy fats. The avoidance of refined carbohydrates and an increased intake of fiber-rich foods can aid in managing the condition.