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 D

Explanation

A. Follow low carbohydrate diet with low glycemic index foods. This recommendation is more appropriate for managing diabetes rather than glomerulonephritis. Carbohydrate and glycemic index considerations are not the primary dietary concerns for glomerulonephritis patients.
B. Eat a high protein diet three times a day. In glomerulonephritis, kidney function is impaired, and a high protein diet can exacerbate the condition by increasing the workload on the kidneys. Protein intake should often be moderated, not increased.
C. Avoid foods high in potassium. While potassium management may be relevant in certain cases of kidney disease, it is not the primary dietary focus for glomerulonephritis unless hyperkalemia is a specific issue.
D. Restrict sodium rich foods and excessive oral fluids. Reducing sodium intake helps prevent fluid retention and hypertension, both of which can be problematic in glomerulonephritis. Controlling fluid intake also helps manage symptoms and prevent complications associated with impaired kidney function.

A. The consumption of fruit and/or vegetables should total between 4 to 6 servings. B. The consumption of dairy-based products should be eliminated from the diet. C. The consumption of protein products should come from lean meats, nuts, and dried beans. D. The consumption of bread products should be gluten-free.

Correct Answer is C

Explanation

A. The consumption of fruit and/or vegetables should total between 4 to 6 servings. The DASH diet actually recommends 4 to 5 servings each of fruits and vegetables per day, not combined. This statement indicates an incomplete understanding.
B. The consumption of dairy-based products should be eliminated from the diet. The DASH diet does not eliminate dairy products; instead, it recommends 2 to 3 servings of low-fat or fat-free dairy products daily.
C. The consumption of protein products should come from lean meats, nuts, and dried beans.

This is correct. The DASH diet emphasizes lean protein sources such as poultry, fish, nuts, and legumes, and limits red meat.
D. The consumption of bread products should be gluten-free. The DASH diet does not

specifically recommend gluten-free products unless the individual has a gluten intolerance or celiac disease. The focus is on whole grains rather than gluten-free.

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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?

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Naxlex Comprehensive Predictor Exams

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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