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 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.

A. "You can take over-the-counter pain medications like ibuprofen for relief." B. "I will inform the doctor to order strong opioids for pain management." C. "Try applying a heating pad to your abdomen to ease the pain." D. "I will assist you in changing positions and performing deep breathing exercises."

Correct Answer is B

Explanation

Choice A reason:

Over-the-counter pain medications may not be sufficient to alleviate severe pain associated with gallstone obstruction.

Choice B reason:

This statement is correct. Severe pain caused by gallstone obstruction requires stronger pain management, and opioids may be prescribed to manage the pain effectively.

Choice C reason:

Applying a heating pad may not provide adequate pain relief for gallstone obstruction and could worsen the condition.

Choice D reason:

Position changes and deep breathing exercises may be helpful in some situations, but they are unlikely to provide sufficient relief for severe pain due to gallstone obstruction.

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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 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 has been diagnosed with cholelithiasis and is experiencing severe pain due to gallstone obstruction. The client asks the nurse about pain relief measures. What is the most appropriate response by the nurse?

Correct Answer is B

Explanation

A client is recovering from laparoscopic cholecystectomy and is concerned about potential complications. What should the nurse include in the discharge teaching to address the client's concerns?

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 nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. 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 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 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?