A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

"Increase your intake of fatty foods to stimulate bile production."

"Avoid all carbohydrates to reduce the risk of gallstone formation."

"Focus on consuming a low-fat diet to prevent gallstones."

"Consume large portions of dairy products to maintain gallbladder health."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Increasing the intake of fatty foods is not a recommended preventive measure for gallstones, especially in an overweight client.

Choice B reason:

Avoiding all carbohydrates is not necessary for gallstone prevention and may not be a healthy approach to weight management.

Choice C reason:

This statement is correct. Focusing on consuming a low-fat diet is an essential preventive measure for reducing the risk of gallstone formation, especially in overweight individuals.

Choice D reason:

Consuming large portions of dairy products is not a specific preventive measure for gallstones. A balanced diet with limited fat intake is recommended.

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Correct Answer is D

Explanation

Choice A reason:

PTC is not used to remove gallstones from the common bile duct. It is primarily a diagnostic procedure.

Choice B reason:

Gallbladder function and contraction are not the primary focus of a percutaneous transhepatic cholangiography (PTC).

Choice C reason:

Obtaining a biopsy of the gallbladder is not the primary purpose of a PTC. It is mainly used for imaging and diagnostic purposes.

Choice D reason:

This statement is correct. PTC is a diagnostic imaging procedure that involves injecting contrast dye into the biliary tree to visualize the bile ducts and identify any obstructions, such as gallstones, which could be causing cholelithiasis.

A. "Eating fatty foods can lead to indigestion and discomfort after surgery." B. "Fatty foods can interfere with your medication absorption, so it's best to avoid them." C. "Following a low-fat diet helps prevent gallstone formation and reduces stress on your liver." D. "Fatty foods can cause diarrhea and other digestive problems after surgery."

Correct Answer is C

Explanation

Choice A reason:

Indigestion and discomfort are potential issues, but the primary reason for a low-fat diet after cholecystectomy is related to gallstone prevention and liver function.

Choice B reason:

There is no direct link between fatty foods and medication absorption in the context of post-cholecystectomy care.

Choice C reason:

This statement is correct. Following a low-fat diet after cholecystectomy helps prevent the formation of new gallstones and reduces stress on the liver, as the gallbladder's role in storing and releasing bile for

fat digestion is compromised.

Choice D reason:

While fatty foods can lead to digestive problems for some individuals, the primary concern in a client post-cholecystectomy is gallstone prevention and liver support.

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A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

Correct Answer is D

Explanation

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?

Correct Answer is C

Explanation

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

A client has been diagnosed with cholelithiasis and is experiencing severe pain due to gallstone obstruction. The client asks the nurse about pain relief measures. What is the most appropriate response by the nurse?

A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

A client with cholelithiasis is scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?

A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?