A client is recovering from a cholecystectomy and asks the nurse about dietary recommendations post-surgery. Which of the following responses should the nurse provide?
"You can resume your regular diet immediately after the surgery."
"You should follow a low-fat diet for several weeks to aid in healing."
"A high-protein diet is recommended to promote wound healing."
"You should avoid all solid foods for the first 24 hours after the surgery."
The Correct Answer is B
Choice A reason:
Resuming a regular diet immediately after a cholecystectomy may be too heavy for the digestive system, which is still recovering from the surgery.
Choice B reason:
This statement is correct. Following a low-fat diet for several weeks after a cholecystectomy can reduce the strain on the digestive system and allow the body to adjust to the absence of the gallbladder.
Choice C reason:
While protein is essential for wound healing, a high-protein diet is not specifically recommended for a client recovering from a cholecystectomy.
Choice D reason:
Avoiding all solid foods for 24 hours after the surgery is unnecessary and may lead to nutritional deficits. The client can gradually resume a low-fat, solid diet after the surgery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
While chronic cholecystitis can lead to complications, such as gallbladder inflammation and gallstones, it is not a typical cause of gallbladder cancer.
Choice B reason:
This statement is correct. Complications of chronic cholecystitis may include pancreatitis, which is inflammation of the pancreas, and cholangitis, which is inflammation of the bile ducts. These complications can occur if gallstones migrate from the gallbladder and obstruct the pancreatic or bile ducts.
Choice C reason:
This statement is incorrect. Chronic cholecystitis is inflammation of the gallbladder, not the pancreas. However, complications of chronic cholecystitis, such as gallstone migration, can cause acute inflammation of the pancreas (pancreatitis).
Choice D reason:
Complications of chronic cholecystitis do not typically include lung infections. The primary complications are related to the gallbladder, pancreas, and bile ducts.
Correct Answer is B
Explanation
Choice A reason:
Itching is not typically associated with an allergic reaction and is more likely related to cholecystitis itself or complications such as cholangitis or bile duct obstruction.
Choice B reason:
This statement is correct. Cholecystitis can cause bile salts to accumulate in the skin, leading to pruritus (itching). When the bile flow is obstructed or altered, bile salts may not be properly eliminated from the body, leading to their accumulation in the skin and causing itching.
Choice C reason:
Dehydration may occur in some cases of cholecystitis due to nausea, vomiting, or reduced fluid intake, but it is not the primary cause of pruritus.
Choice D reason:
Cholecystitis does not typically cause elevated blood sugar levels. However, certain conditions like diabetes mellitus may increase the risk of cholecystitis.
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