A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

Choice A reason: Hypolipidemia, or low levels of lipids in the blood, is not typically associated with acute pancreatitis. Hyperlipidemia (high levels of lipids) is a more relevant factor.
Choice B reason: Diabetes mellitus is a chronic condition that can develop as a result of chronic pancreatitis, but it is not a direct risk factor for acute pancreatitis.
Choice C reason: Gallstones are a common cause of acute pancreatitis. They can block the pancreatic duct, leading to inflammation and pain.
Choice D reason: COPD, a chronic lung disease, is not associated with acute pancreatitis and does not increase the risk for this condition.

Choice A reason: The statement that the tube is a routine standard following this type of surgery is too vague and does not provide the client with specific information about the purpose of the NG tube. Providing clear and specific reasons for medical interventions helps improve client understanding and comfort.
Choice B reason: While NG tubes can be used for nutritional support, this is not typically their primary purpose in the immediate postoperative period for colectomy patients. The main purpose is usually decompression, not nutrition.
Choice C reason: Telling the client that the tube can be explained once they are stable after surgery does not adequately address the client's need for information before the procedure. It is essential to provide clear and accurate information beforehand to reduce anxiety and promote informed consent.
Choice D reason: This is the correct answer because it clearly explains the primary purpose of a large-bore NG tube after a colectomy, which is to remove gas and fluid from the stomach to prevent distension and complications such as nausea, vomiting, and aspiration.