A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

"Avoid all fruits and vegetables to reduce the risk of gallstone formation."

"Limit your intake of fatty and fried foods to help prevent gallstones."

"Consume large quantities of processed foods to promote proper bile production."

"Increase your alcohol intake to aid in the digestion of fats."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Avoiding all fruits and vegetables is not a recommended preventive strategy for gallstones. Fruits and vegetables are generally beneficial for overall health.

Choice B reason:

This statement is correct. Limiting the intake of fatty and fried foods is an important preventive measure to reduce the risk of gallstone formation.

Choice C reason:

Consuming large quantities of processed foods is not recommended for gallstone prevention. Processed foods are often high in unhealthy fats and additives.

Choice D reason:

Increasing alcohol intake is not a preventive measure for gallstones and may actually contribute to gallstone formation.

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Correct Answer is B

Explanation

Choice A reason:

Instructing the client to eat a high-fat diet before surgery is not appropriate and may exacerbate the symptoms of cholelithiasis. The client should follow a low-fat diet instead.

Choice B reason:

This statement is correct. Demonstrating deep-breathing exercises helps promote lung expansion postoperatively and prevents respiratory complications after anesthesia and surgery.

Choice C reason:

While ambulating is essential after surgery, it may not be the primary focus of preoperative education for a client undergoing cholecystectomy for cholelithiasis.

Choice D reason:

Discussing the possibility of experiencing diarrhea after the surgery is not a priority in preoperative education for a client with cholelithiasis undergoing cholecystectomy.

A. Jaundice. B. Erythema. C. Pallor. D. Petechiae.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Jaundice refers to the yellowish discoloration of the skin and eyes caused by an accumulation of bilirubin, which can occur in cholelithiasis due to obstruction of the bile ducts by gallstones.

Choice B reason:

Erythema refers to redness of the skin and is not related to the client's complaint.

Choice C reason:

Pallor refers to paleness of the skin and is not related to the client's symptom.

Choice D reason:

Petechiae refers to small, pinpoint-sized red or purple spots on the skin caused by bleeding and is not related to the client's symptom.

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A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

Correct Answer is B

Explanation

A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

Correct Answer is A

Explanation

A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?

A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

A client has a family history of cholelithiasis and wants to know how to reduce their risk of developing gallstones. What is the nurse's best response?

A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

A nurse is caring for a client with cholelithiasis experiencing biliary colic. Which medication should the nurse anticipate administering to provide pain relief?

A client with cholelithiasis is scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?