A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis.

Which of the following instructions should the nurse include in the teaching plan?

Include foods high in fiber.

Include foods high in starch and proteins.

Avoid foods high in fat.

Avoid foods high in sodium.

Answer and Explanation

The Correct Answer is C

Choice A reason:

While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.

Choice B reason:

Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.

Choice C reason:

This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.

Choice D reason:

Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.

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Correct Answer is ["A","B"]

Explanation

Choice A reason:

Anticholinergic medications: These are not a component of treatment for diverticular disease. Anticholinergic medications can reduce intestinal motility and cause dry mouth, constipation, and urinary retention, which can aggravate the diverticula and increase the risk of complications. The patient should avoid these medications unless prescribed by a doctor for another condition.

Choice B reason:

Increasing fiber intake is a common component of treatment for diverticular disease as it can help prevent constipation and reduce the risk of diverticulitis.

Choice C reason:

Reducing fat intake is also important in the treatment of diverticular disease, as a low-fat diet can help prevent further irritation of the colon.

Choice D reason:

This is not a component of treatment for diverticular disease. On the contrary, adequate fluid intake is essential to prevent dehydration and constipation, which can worsen the condition. The patient should drink at least eight glasses of water per day or more if they have a high-fiber diet.

Choice E reason:

These are not a component of treatment for diverticular disease. Enemas can irritate the colon and increase the pressure in the diverticula, which can lead to perforation or bleeding. The patient should avoid enemas unless instructed by a doctor for a specific reason.

A. "This medication will make the lining of your stomach more resistant to damage." B. "This medication will specifically address the pain that accompanies peptic ulcer disease." C. "This medication will help your stomach lining to repair itself." D. "This medication will reduce the amount of acid secreted in your stomach."

Correct Answer is D

Explanation

Choice A reason:

Omeprazole is a proton pump inhibitor that reduces acid secretion in the stomach, but it doesn't directly make the stomach lining more resistant to damage.

Choice B reason:

While omeprazole can alleviate pain associated with peptic ulcer disease, its primary action is related to acid reduction.

Choice C reason:

Omeprazole primarily reduces acid secretion and doesn't directly facilitate the repair of the stomach lining.

Choice D reason:

This statement is correct. Omeprazole belongs to a class of medications known as proton pump inhibitors, which work by reducing the amount of acid produced in the stomach. This helps to alleviate symptoms and promote healing in conditions like peptic ulcer disease.

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A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult patient has been diagnosed with diverticular disease after ongoing challenges with constipation. The patient will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How should the nurse best describe this medication's therapeutic action?

Correct Answer is D

Explanation

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A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis.

Which of the following instructions should the nurse include in the teaching plan?