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?
Macaroni and cheese
Roast turkey
Ice cream
Creamed chicken
The Correct Answer is B
Choice A reason: Macaroni and cheese is high in fat due to the cheese content, which can exacerbate symptoms of cholecystitis. Patients with cholecystitis should avoid high-fat foods to prevent gallbladder irritation.
Choice B reason: Roast turkey, if prepared without added fats, is a lean protein option that is suitable for a cholecystitis diet. It provides necessary nutrients without the high fat content that could trigger symptoms.
Choice C reason: Ice cream is high in fat and sugar, making it unsuitable for someone with cholecystitis. High-fat foods can lead to increased bile production and gallbladder contractions, causing pain and discomfort.
Choice D reason: Creamed chicken typically contains high amounts of fat from cream, which should be avoided by cholecystitis patients to prevent aggravating their condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Securing the drain to the client's bed sheet is not appropriate as it does not ensure the drain is properly secured and could lead to accidental dislodgement.
Choice B reason: Measuring the drainage every hour for the first 8 hours is not standard practice. Usually, drainage measurement frequency is less frequent unless there are specific clinical concerns.
Choice C reason: Removing the JP drain should be done according to medical orders, and typically the nurse would not make the decision independently. The JP drain is usually removed when the output decreases to a minimal level and the surgeon orders its removal.
Choice D reason: Expelling the air from the JP bulb after emptying is the correct action to re-establish suction, which is necessary for the drain to function effectively.
Correct Answer is A
Explanation
Choice A reason: Alcohol abuse is a well-known risk factor for acute pancreatitis. Chronic alcohol consumption can lead to inflammation of the pancreas, causing acute episodes of pancreatitis. The harmful effects of alcohol on pancreatic cells and the disruption of digestive enzyme regulation contribute to this increased risk.
Choice B reason: Diabetes mellitus is associated with chronic conditions affecting various organs, but it is not a primary risk factor for acute pancreatitis. However, diabetes can develop as a complication of chronic pancreatitis.
Choice C reason: Congestive heart failure primarily affects the cardiovascular system and does not directly increase the risk for acute pancreatitis. The conditions are unrelated in terms of causation.
Choice D reason: Emphysema is a chronic lung condition and is not associated with an increased risk of acute pancreatitis. The respiratory and pancreatic systems are generally impacted by different risk factors.
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