A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

Choice A reason:

Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.

Choice D reason:

Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

Choice A reason:

While cholecystectomy is a common procedure, minimizing the client's fear and anxiety by downplaying the risks is not appropriate. It is essential to acknowledge the client's concerns and address them appropriately.

Choice B reason:

Avoiding thinking about the surgery may not be helpful for the client. It is essential to encourage open communication and support the client in expressing their fears and concerns.

Choice C reason:

This statement is correct. Encouraging the client to express their fears and concerns allows the nurse to address them appropriately and provide the necessary support and information to reduce anxiety.

Choice D reason:

While sharing personal experiences can sometimes be helpful, it is essential to focus on the client's feelings and needs rather than diverting attention to the nurse's experience.