The Nurse Is Concerned That a Client with Crohn Disease

The nurse is concerned that a client with Crohn disease continues to lose weight. Which reason should the nurse identify as increasing this client's risk for malnutrition?

A) Migration of bacteria from the gut to other locations in the body increase metabolism and accounts for weight loss with Crohn disease
B) A low-fat, low-carbohydrate diet along with an increase in exercise is the standard treatment for Crohn disease so clients naturally lose weight
C) Patients do not understand the physiological basis for inflammatory bowel disease and may avoid foods that could contribute to healing and good health
D) Poor nutritional intake can continue even when the disease is not active due to ongoing avoidance of foods that can cause symptoms associated with a disease to flare up