The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client starts to eat which of the following foods to make the stools less watery?
A. Pasta
B. Boiled rice
C. Bran
D. Low-fat cheese
Correct Answer: C. Bran
Foods that help thicken the stool of the client with an ileostomy include pasta, boiled rice, and low-fat cheese. Bran is high in dietary fiber and thus will increase the output of watery stool by increasing propulsion through the bowel. Ileostomy output is liquid. The addition or elimination of various foods can help thicken or loosen this liquid drainage.
Option A: Eat foods that thicken the stool such as rice, pasta, cheese, bananas, applesauce, smooth peanut butter, pretzels, yogurt, and marshmallows. Drink 2 or 3 glasses of fluid that will replace electrolytes like sports drinks, fruit or vegetable juice, and broth but limit these items. Too much sugar drinks can produce diarrhea.
Option B: Slowly increase intake of high-fiber foods, such as whole grains, bread, and cereals. As a daily goal, women need 25 grams of fiber; men need 38 grams of fiber. For more fluid, fiber, and vitamin punch, eat at least five servings of fruits and vegetables per day. An easy way to do this is to fill half of the plate with fruit and/or vegetables at every meal
Option D: Any bland, low-fat, low-fiber diet is likely to help alleviate diarrhea. By bland, low-fat, low-fiber, we’re referring to foods such as white bread, peeled potatoes, peeled and cooked fruit, white pasta, and rice. Another way to approach this is to avoid spicy, fatty, fried, or raw food and any food that’s difficult to chew.
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