A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis.

Which diet is most important to include in the patient teaching?.

A high sugar and low fat diet.

A low protein and high fat diet.

A high protein and low fat diet.

A high carbohydrate diet.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
A high sugar and low fat diet is not recommended for cholecystitis. High sugar diets can lead to obesity, which is a risk factor for gallstones. Low fat is correct, as fat can stimulate the gallbladder to contract, potentially causing pain.
Choice B rationale:
A low protein and high fat diet is not recommended. Protein is needed for healing and high fat can exacerbate symptoms.
Choice C rationale:
A high protein and low fat diet is generally recommended. Protein is needed for healing and low fat is recommended to prevent gallbladder contraction.
Choice D rationale:
A high carbohydrate diet is not specifically beneficial or harmful for cholecystitis. It’s the type of carbohydrate that matters - whole grains are beneficial, while refined carbs are not.

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Correct Answer is B

Explanation

Choice A rationale:
This patient is unstable (low BP) and should be assigned to a more experienced nurse.
Choice B rationale:
This patient is stable and requires teaching, which is appropriate for a new graduate.
Choice C rationale:
This patient is unstable (confused, DKA) and should be assigned to a more experienced nurse.
Choice D rationale:
This patient is unstable (chest pain) and should be assigned to a more experienced nurse.

A. “I will elevate my legs by placing two pillows under my knees when I go to bed.”. B. “Ibuprofen is the first step in medication therapy for osteoarthritis.”. C. “I should limit physical activity to prevent further injury.”. D. “I can use either heat or ice to help relieve the discomfort.”.

Correct Answer is D

Explanation

Choice A rationale:
Elevating the legs can help reduce swelling, but placing pillows under the knees can potentially increase knee stiffness, which is not beneficial for osteoarthritis.
Choice B rationale:
While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation in osteoarthritis, it is not necessarily the first step in medication therapy. This can vary based on the individual’s condition and doctor’s recommendation.
Choice C rationale:
Physical activity is actually beneficial for osteoarthritis as it strengthens the muscles around the joints and improves joint flexibility. Limiting physical activity may lead to joint stiffness.
Choice D rationale:
Using heat or ice can help relieve discomfort caused by osteoarthritis. Heat can relax muscles and help lubricate the joint, and ice can help reduce joint swelling.

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A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse is planning the client assignments for the day. Which of the following is an appropriate assignment for the newly graduated registered nurse?.

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis.

Which diet is most important to include in the patient teaching?.