A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal from the menu. Which food choice should the nurse advise the client to omit?

Bread.

Beef broth.

Ice cream.

Ketchup.

Answer and Explanation

The Correct Answer is C

A.   Bread. Plain bread is typically well-tolerated for individuals with cholelithiasis, as it is low in fat.
B.   Beef broth. Beef broth is low in fat and should be well-tolerated for someone with cholelithiasis.

C.   Ice cream. Ice cream is high in fat and may exacerbate symptoms of cholelithiasis by triggering gallbladder contractions.
D.   Ketchup. Ketchup is low in fat and should not pose a significant risk for someone with cholelithiasis.

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Correct Answer is B

Explanation

A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful

information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B. Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C. Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D. Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.

A. Baked potato with low fat butter. B. One slice of cheese pizza. C. Salad greens with tomatoes. D. Roasted turkey sandwich.

Correct Answer is D

Explanation

A. Baked potato with low fat butter. While this is a low-fat option, it lacks a significant amount of protein, making it an inadequate substitute for a protein-rich meal like a hamburger.
B. One slice of cheese pizza. Cheese pizza still contains a considerable amount of saturated fat due to the cheese and possible meat toppings.
C. Salad greens with tomatoes. While healthy, salad greens with tomatoes do not provide sufficient protein to replace a hamburger.
D. Roasted turkey sandwich. Turkey is a lean protein source with much lower saturated fat content compared to a hamburger, making it an excellent alternative.

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A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal from the menu. Which food choice should the nurse advise the client to omit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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