The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?

Avoid adding salt to food for 4 weeks.

Maintain a low-residue diet for 6 weeks.

Maintain a low-fat diet for 6 weeks.

Avoid complex sugars for 4 weeks.

Answer and Explanation

The Correct Answer is C

Choice C reason:

Maintaining a low-fat diet for 6 weeks is crucial after a laparoscopic cholecystectomy because the gallbladder, which stores bile to help digest fats, has been removed. Without the gallbladder, the body needs time to adjust to digesting fats directly from the liver. A low-fat diet helps prevent digestive discomfort and complications such as diarrhea and bloating. This dietary adjustment supports the healing process and ensures the client can gradually return to a normal diet without experiencing significant digestive issues.

Choice A reason:

Avoiding adding salt to food for 4 weeks is not directly related to the recovery process after a laparoscopic cholecystectomy. While reducing salt intake can be beneficial for overall health, it does not address the specific dietary needs following gallbladder removal. The primary focus should be on managing fat intake to aid digestion and recovery.

Choice B reason:

Maintaining a low-residue diet for 6 weeks is not necessary for clients who have undergone a laparoscopic cholecystectomy. A low-residue diet is typically recommended for individuals with certain gastrointestinal conditions to reduce bowel movements and allow the intestines to heal. However, this is not relevant to gallbladder removal recovery, where the emphasis should be on fat intake management.

Choice D reason:

Avoiding complex sugars for 4 weeks is not a standard recommendation for clients recovering from a laparoscopic cholecystectomy. While managing sugar intake can be part of a healthy diet, it does not specifically address the digestive changes and needs following gallbladder removal. The key dietary focus should be on reducing fat intake to support digestion and recovery.

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Correct Answer is A

Explanation

Choice A reason:

Unpasteurized milk poses significant health risks because it can contain harmful bacteria such as E. coli, Salmonella, and Listeria. These pathogens can cause serious illness, especially in vulnerable populations such as children, the elderly, and those with weakened immune systems. It is crucial for the nurse to inform the client about the risks associated with consuming unpasteurized milk and to recommend pasteurized alternatives to ensure food safety.

Choice B reason:

Organically grown fruits are generally safe and can be a healthy choice. While they may have lower pesticide residues compared to conventionally grown fruits, they do not pose the same immediate health risks as unpasteurized milk. The focus should be on ensuring the client washes all fruits thoroughly before consumption.

Choice C reason:

Wheat germ is a nutritious food that provides vitamins, minerals, and fiber. It does not pose significant health risks and can be safely included in a balanced diet. The primary concern should be on educating the client about the benefits of including such nutrient-dense foods in their diet.

Choice D reason:

Range-fed beef can be a healthy option as it is often lower in fat and higher in omega-3 fatty acids compared to conventionally raised beef. While it is important to ensure proper cooking to avoid foodborne illnesses, it does not pose the same level of risk as unpasteurized milk.

A. Suggest that the client also avoid fruit skins. B. Confirm that these foods should be avoided. C. Explain the benefits of a high-fiber diet. D. Encourage soft foods such as yogurt.

Correct Answer is C

Explanation

Choice C reason:

Explaining the benefits of a high-fiber diet is crucial for a client with hemorrhoids. High-fiber foods help soften stools and promote regular bowel movements, reducing the strain and pressure on hemorrhoids. This can help prevent further irritation and inflammation. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Educating the client on the importance of fiber can help manage and alleviate the symptoms of hemorrhoids effectively.

Choice A reason:

Suggesting that the client also avoid fruit skins may not be necessary. While some individuals with hemorrhoids may find certain foods irritating, fruit skins are generally a good source of fiber. The focus should be on increasing fiber intake rather than avoiding it.

Choice B reason:

Confirming that nuts and seeds should be avoided is not the best approach. While some people may find these foods irritating, they are also good sources of fiber and healthy fats. The nurse should focus on the overall benefits of a high-fiber diet rather than eliminating specific foods without a clear reason.

Choice D reason:

Encouraging soft foods such as yogurt can be helpful for some individuals, but it does not address the underlying need for a high-fiber diet. Soft foods alone will not provide the necessary fiber to help manage hemorrhoids effectively.

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The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the home health nurse about being very health-conscious and primarily buying groceries at health food stores and farmers’ markets. It is most important for the nurse to provide the client with information related to the safety of which of the foods that the client might purchase?

Correct Answer is A

Explanation

A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Correct Answer is C

Explanation

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