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. Elevated serum bilirubin levels. B. Increased blood glucose levels. C. Elevated white blood cell count. D. Low serum amylase levels.

Correct Answer is C

Explanation

Choice A reason:

While elevated serum bilirubin levels can be associated with cholelithiasis, they are more indicative of obstruction of the bile ducts, which can occur in cholecystitis, a complication of cholelithiasis.

Choice B reason:

Increased blood glucose levels are not directly related to cholelithiasis or its complications.

Choice C reason:

This statement is correct. An elevated white blood cell count is often seen in cholecystitis, which is inflammation of the gallbladder that can occur as a complication of cholelithiasis.

Choice D reason:

Low serum amylase levels are not specific to cholelithiasis or its complications.

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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 reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

Correct Answer is C

Explanation

A nurse is caring for a client with cholelithiasis. The client reports feeling bloated and experiences excessive gas after meals. Which term should the nurse use to describe this symptom?

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

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 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 client asks the nurse about the role of hormones in the development of cholelithiasis. What is the nurse's best response?

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 experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

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?