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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:
Symmetrical joint pain that is relieved with rest. Rheumatoid arthritis (RA) is characterized by symmetrical joint pain, but the pain is not typically relieved with rest.
Choice B rationale:
Symmetrical joint pain. This is a common symptom of RA, as the disease often affects the same joints on both sides of the body.
Choice C rationale:
Bouchard’s nodes in the middle joints. Bouchard’s nodes are more commonly associated with osteoarthritis, not RA123.
Choice D rationale:
Unilateral pain in the weight-bearing joints. RA typically causes symmetrical joint pain, not unilateral.

A. Reports of inflammation in the joints. B. Joint pain that is not relieved with rest. C. Report of recent headache. D. Report of bloody stools.

Correct Answer is D

Explanation

Choice A rationale:
While inflammation in the joints is a symptom of rheumatoid arthritis, it is not a contraindication for taking aspirin.
Choice B rationale:
Joint pain that is not relieved with rest is a common symptom of rheumatoid arthritis, but it is not a contraindication for taking aspirin.
Choice C rationale:
A recent headache is not a contraindication for taking aspirin. In fact, aspirin is often used to relieve headaches.
Choice D rationale:
Bloody stools can be a sign of gastrointestinal bleeding, which can be exacerbated by aspirin use due to its blood-thinning properties.

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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?.

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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 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?.