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 C

Explanation

Choice C reason:

Avocado is a low-carbohydrate food that is high in healthy fats, making it an excellent choice for someone with type 2 diabetes. It does not contain refined sugars or high levels of carbohydrates, which can cause blood sugar spikes. Avocados also provide fiber, which helps in managing blood glucose levels. This choice indicates that the client understands the importance of selecting foods that do not adversely affect their blood sugar levels.

Choice A reason:

Grapes contain natural sugars and can raise blood glucose levels, making them less ideal for someone with type 2 diabetes who needs to manage their carbohydrate intake carefully. While they can be consumed in moderation, they are not the best choice for avoiding refined sugars and carbohydrates.

Choice B reason:

Potatoes are high in carbohydrates and can cause significant increases in blood glucose levels. They are not recommended for someone with type 2 diabetes who is trying to avoid refined sugars and high-carbohydrate foods. Choosing potatoes would indicate a misunderstanding of the dietary guidelines provided.

Choice D reason:

Pretzels are typically made from refined flour and contain high levels of carbohydrates, which can lead to blood sugar spikes. They are not suitable for someone with type 2 diabetes who needs to avoid refined sugars and carbohydrates. Selecting pretzels would suggest that the client does not fully understand the dietary recommendations.

A. Cottage cheese. B. Broccoli. C. Ground sirloin. D. Bananas.

Correct Answer is A

Explanation

Choice A reason:

Cottage cheese is high in sodium, which is not suitable for a client who needs to limit sodium intake. High sodium intake can lead to increased blood pressure and fluid retention, which are particularly concerning for older adults. Encouraging the client to avoid cottage cheese helps manage their sodium intake and supports better cardiovascular health.

Choice B reason:

Broccoli is low in sodium and is a healthy vegetable option for clients who need to limit sodium intake. It provides essential nutrients and fiber without contributing to high sodium levels.

Choice C reason:

Ground sirloin, when prepared without added salt, is relatively low in sodium. It can be a good source of protein for clients who need to limit sodium intake, as long as it is cooked in a way that does not add extra sodium.

Choice D reason:

Bananas are naturally low in sodium and are a healthy fruit option for clients who need to limit sodium intake. They provide potassium, which can help balance sodium levels in the body.

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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

The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

Correct Answer is C

Explanation

The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

Correct Answer is A

Explanation

An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

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