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?

"Eating fatty foods can lead to indigestion and discomfort after surgery."

"Fatty foods can interfere with your medication absorption, so it's best to avoid them."

"Following a low-fat diet helps prevent gallstone formation and reduces stress on your liver."

"Fatty foods can cause diarrhea and other digestive problems after surgery."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Indigestion and discomfort are potential issues, but the primary reason for a low-fat diet after cholecystectomy is related to gallstone prevention and liver function.

Choice B reason:

There is no direct link between fatty foods and medication absorption in the context of post-cholecystectomy care.

Choice C reason:

This statement is correct. Following a low-fat diet after cholecystectomy helps prevent the formation of new gallstones and reduces stress on the liver, as the gallbladder's role in storing and releasing bile for

fat digestion is compromised.

Choice D reason:

While fatty foods can lead to digestive problems for some individuals, the primary concern in a client post-cholecystectomy is gallstone prevention and liver support.

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Correct Answer is C

Explanation

Choice A reason:

Acetaminophen is an analgesic but may not provide sufficient pain relief for biliary colic.

Choice B reason:

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) but may not be the most effective option for pain relief in cases of biliary colic.

Choice C reason:

This statement is correct. Morphine sulfate is an opioid analgesic often used to provide pain relief for biliary colic, as it can effectively alleviate severe, cramping pain associated with gallstone obstruction.

Choice D reason:

Diphenhydramine is an antihistamine and is not used for pain relief in cases of biliary colic.

A. Instructing the client to eat a high-fat diet to prepare for the surgery. B. Demonstrating deep-breathing exercises to promote lung expansion postoperatively. C. Explaining the importance of ambulating immediately after surgery. D. Discussing the possibility of experiencing diarrhea after the surgery.

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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

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?

A nurse is caring for a client who had cholecystectomy for cholelithiasis. The client asks when they can resume their normal diet. What is the appropriate response by the nurse?

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?

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?