A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis.
Which diet is most important to include in the patient teaching?.
A high sugar and low fat diet.
A low protein and high fat diet.
A high protein and low fat diet.
A high carbohydrate diet.
The Correct Answer is C
Choice A rationale:
A high sugar and low fat diet is not recommended for cholecystitis. High sugar diets can lead to obesity, which is a risk factor for gallstones. Low fat is correct, as fat can stimulate the gallbladder to contract, potentially causing pain.
Choice B rationale:
A low protein and high fat diet is not recommended. Protein is needed for healing and high fat can exacerbate symptoms.
Choice C rationale:
A high protein and low fat diet is generally recommended. Protein is needed for healing and low fat is recommended to prevent gallbladder contraction.
Choice D rationale:
A high carbohydrate diet is not specifically beneficial or harmful for cholecystitis. It’s the type of carbohydrate that matters - whole grains are beneficial, while refined carbs are not.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Liver and bacon are high in purines, which can exacerbate gout. Therefore, they should be avoided.
Choice B rationale:
Vegetables and bananas are low in purines and are therefore good choices for a patient with gout.
Choice C rationale:
Fruits are generally low in purines, but bacon is high in purines and should be avoided.
Choice D rationale:
Nuts are a good choice as they are low in purines, but fish can be high in purines and should be eaten in moderation.
Correct Answer is ["C","D"]
Explanation
Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.
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