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 C
Explanation
Choice A reason: Cleaning the inside of the container with a wipe is not part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample.
Choice B reason: Urinating a little then stopping is part of the process, but this statement alone does not indicate a complete understanding of the procedure. The critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised as it can lead to contamination. Each wipe should be used only once to maintain hygiene and ensure the accuracy of the urine sample.
Correct Answer is A
Explanation
Choice A reason: Nausea and vomiting are common manifestations of peritonitis, an infection of the peritoneal cavity, often a complication of peritoneal dialysis. These symptoms, along with abdominal pain and fever, indicate peritoneal irritation and inflammation.
Choice B reason: Bradycardia, or slow heart rate, is not a typical symptom of peritonitis. It is more commonly associated with other conditions such as heart-related issues or severe hypothermia.
Choice C reason: Hyperactive bowel sounds can occur with various gastrointestinal disturbances, but they are not specifically indicative of peritonitis. Peritonitis typically presents with decreased bowel sounds due to inflammation and irritation of the peritoneum.
Choice D reason: Increased urinary output is not a symptom of peritonitis. In fact, peritonitis can sometimes cause decreased urine output if the infection affects kidney function.
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