A middle-aged client newly diagnosed with cholelithiasis is choosing the evening meal. What food choice should the nurse encourage the client to omit?
Beef broth.
Ketchup.
Ice cream.
Bread.
The Correct Answer is C
Choice A
Beef broth should not be omitted. Generally, clear broths like beef broth are lower in fat and may be a better choice for someone with cholelithiasis compared to creamy or fatty foods.
Choice B
Ketchup should not be omitted. Ketchup is not typically high in fat and may not be a significant concern for someone with cholelithiasis.
Choice C
Ice cream should be omitted. Cholelithiasis refers to the presence of gallstones in the gallbladder. Gallstones can form from substances in the bile, and certain foods can trigger symptoms in individuals with gallbladder issues. One of the common triggers is high-fat foods, which can cause the gallbladder to contract and potentially lead to pain or discomfort.
Choice D
Bread should not be omitted. While bread contains some fat, it's not as high in fat as ice cream. The focus for individuals with cholelithiasis is often on high-fat foods rather than moderate-fat foods like bread.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A
Bananas are incorrect. Bananas are naturally low in sodium.
Choice B
Ground sirloin is correct. For an older adult who needs to limit sodium intake, the nurse should encourage avoiding foods that are high in sodium. Processed meats, including ground meats like ground sirloin, are often higher in sodium due to added preservatives and flavourings. These additives can significantly contribute to sodium content. Encouraging the client to choose lean meats and to avoid processed meats can help reduce sodium intake.
Choice C
Cottage cheese is incorrect. While cottage cheese might contain some sodium, it's usually lower in sodium compared to processed meats.
Choice D
Broccoli is incorrect. Broccoli is a vegetable that is naturally low in sodium.
Correct Answer is A
Explanation
Choice A
Broccoli is appropriate recommendation. Given the client's history of iron deficiency anaemia and the current haemoglobin level below the reference range, it's important to recommend foods that are good sources of iron. Among the options provided, broccoli is the most suitable choice. Iron from plant-based sources (non-heme iron) might be less easily absorbed than iron from animal sources (heme iron), but combining them with foods high in vitamin C can enhance iron absorption. Broccoli is a vegetable that contains both iron and vitamin C, making it a favourable choice to support the client's iron intake and help address the anaemia.
Choice B
Carrots are inappropriate. While carrots are a nutritious vegetable, they are not particularly high in iron.
Choice C
Cheddar cheese is inappropriate. Dairy products like cheddar cheese are not significant sources of iron.
Choice D
Whole milk is inappropriate. Whole milk is not a significant source of iron either. Additionally, calcium in milk might hinder iron absorption if consumed together.
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