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?

"You should avoid foods high in fiber to reduce gallstone formation."

"Limit your fluid intake to prevent exacerbation of chronic cholecystitis."

"You should avoid fatty and greasy foods to minimize symptoms."

"Increase your intake of carbonated beverages to improve digestion."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Avoiding foods high in fiber is not recommended to reduce gallstone formation. In fact, a diet high in fiber can promote regular bowel movements and may be beneficial in preventing gallstone formation.

Choice B reason:

Limiting fluid intake is not recommended to manage chronic cholecystitis. Staying adequately hydrated is essential for overall health and can help prevent gallstone formation.

Choice C reason:

This statement is correct. Avoiding fatty and greasy foods is recommended to manage chronic cholecystitis. These foods can trigger gallbladder contractions and exacerbate symptoms in individuals with gallstones or chronic inflammation.

Choice D reason:

Increasing the intake of carbonated beverages is not recommended to improve digestion or manage chronic cholecystitis. Carbonated beverages can potentially worsen symptoms in some individuals with gallbladder conditions.

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Correct Answer is C

Explanation

Choice A reason:

Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.

Choice B reason:

While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.

Choice C reason:

This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.

Choice D reason:

Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.

A. "Genetic factors have no influence on gallstone formation." B. "Family history increases the risk of developing gallstones by approximately 10%." C. "Genetic factors play a significant role in determining bile composition, increasing the risk of gallstone formation." D. "Family history only affects the risk of gallstones in men, not women."

Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.

Choice C reason:

This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.

Choice D reason:

Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

Correct Answer is C

Explanation

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

Correct Answer is C

Explanation

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