The nurse is caring for a pregnant client who has just been diagnosed with cholecystitis. When considering anticipatory guidance, what should the nurse include in education regarding nutrition?

Choose low-fat foods and avoid fried foods.

Include a diet high in cholesterol and salt.

Include healthy servings of eggs and cheese.

Include a diet high in calories and low protein.

Answer and Explanation

The Correct Answer is A

A. Clients with cholecystitis should follow a low-fat diet and avoid fried, greasy, or high-fat foods to reduce gallbladder stimulation and prevent painful episodes.
B. A diet high in cholesterol and salt worsens gallbladder disease and is not recommended.
C. Eggs and cheese are high in fat and can trigger biliary colic.
D. A high-calorie, low-protein diet is not appropriate and may worsen maternal and fetal outcomes.

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Correct Answer is A

Explanation

A. Multiple sclerosis is a chronic, progressive neurological disease with no known cure. The main goal of treatment is to delay disease progression, manage symptoms, and reduce the frequency/severity of exacerbations to maintain function and quality of life.
B. Baclofen is an antispasmodic used to treat muscle spasticity in MS, not fatigue. Fatigue is managed through energy-conservation strategies, exercise, and sometimes medications like amantadine.
C. MS is not curable. It follows a pattern of remissions and exacerbations, but treatment focuses on symptom control and slowing progression.
D. Multiple classifications of drugs are used, including disease-modifying therapies (DMTs), corticosteroids for acute relapses, muscle relaxants, and medications for specific symptoms such as fatigue, pain, and bladder dysfunction.

A. The client who has voided 750 mL in the past 24 hours. B. The client that has a potassium level of 5.2 mEq/L (Ref 3.5-5.0 mEq/L) C. The client that has increased feelings of depression. D. The client that is scheduled for hemodialysis later in the day.

Correct Answer is B

Explanation

A. A urine output of 750 mL/24 hr is low (oliguria) but not immediately life-threatening compared to electrolyte imbalances.

B. A potassium level of 5.2 mEq/L is slightly above normal and indicates hyperkalemia risk, which can progress rapidly to life-threatening cardiac dysrhythmias. This client is the highest priority for immediate assessment and intervention.

C. Depression is important but not the immediate priority in an acute setting compared to unstable lab values.

D. A scheduled dialysis client may be stable until treatment; the elevated potassium requires faster intervention.

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The nurse is caring for a pregnant client who has just been diagnosed with cholecystitis. When considering anticipatory guidance, what should the nurse include in education regarding nutrition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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