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 ["C","D"]

Explanation

Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.

A. "You are fatigued because you sleep too many hours.”. B. "Have you thought about getting a new mattress.”. C. "Do you use electronics at bedtime.”. D. "Your fatigue is most likely due to a sleep disturbance such as insomnia.”. E. "Have you been worried about anything in particular?".

Correct Answer is D

Explanation

Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.

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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?.

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Exhibits Based on the client's prescribed medications, the nurse should assess the client for developing? Select All that Apply

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Explanation

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?.