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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B reason:
Reviewing the intake and output record is essential for identifying potential causes of the client’s confusion, such as dehydration or electrolyte imbalances. Monitoring fluid intake and output helps assess the client’s hydration status and detect any imbalances that could contribute to confusion. This intervention allows the nurse to make informed decisions about fluid and electrolyte management to address the underlying cause of the confusion.
Choice A reason:
Offering water to the client hourly can help maintain hydration but may not be sufficient if the client has an underlying condition affecting fluid balance. It is important to first assess the client’s overall fluid status through intake and output records before implementing hydration strategies.
Choice C reason:
Reducing dairy product intake is not directly related to addressing confusion. Unless the client has a specific intolerance or allergy to dairy, this intervention is unlikely to impact their cognitive status.
Choice D reason:
Increasing daily sodium intake can be harmful if the client does not have a sodium deficiency. Excess sodium can lead to fluid retention and exacerbate confusion, especially in older adults. It is important to assess the client’s electrolyte levels before making any changes to sodium intake.
Correct Answer is C
Explanation
A. Yogurt is a good source of calcium and protein, but it is not particularly high in folic acid, which is essential for preventing neural tube defects. While yogurt is a healthy food choice, it does not specifically address the need for folic acid.
B. Cashews provide healthy fats and protein, but they are not a significant source of folic acid. Including nuts in the diet is beneficial for overall health, but they do not specifically help in preventing neural tube defects.
C. Asparagus is an excellent source of folic acid, which is crucial for preventing neural tube defects during pregnancy. Folic acid helps in the proper development of the neural tube, reducing the risk of defects such as spina bifida and anencephaly.
D. Chicken is a good source of protein and other nutrients, but it is not particularly high in folic acid. While it is a healthy food choice, it does not specifically address the need for folic acid to prevent neural tube defects.
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