A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis.
Which of the following instructions should the nurse include in the teaching plan?
Include foods high in fiber.
Include foods high in starch and proteins.
Avoid foods high in fat.
Avoid foods high in sodium.
The Correct Answer is C
Choice A reason:
While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.
Choice B reason:
Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.
Choice C reason:
This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.
Choice D reason:
Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
While thirst can be a sign of dehydration, it is not specific to recurrence of a GI bleed.
Choice B reason:
This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of a GI bleed and should be closely monitored.
Choice C reason:
Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to recurrence of a GI bleed.
Choice D reason:
Tarry, foul-smelling stools are indicative of melena, which is a sign of a GI bleed. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.
Correct Answer is A
Explanation
Choice A reason:
Chronic blood loss is a common complication of ulcerative colitis. Inflammation and ulcers in the colon can lead to ongoing bleeding, resulting in iron deficiency anemia.
Choice B reason:
While intestinal malabsorption can occur in some gastrointestinal disorders, it is not a primary mechanism in ulcerative colitis. In ulcerative colitis, the main factor leading to anemia is chronic blood loss.
Choice C reason:
Dietary iron restrictions may exacerbate anemia in individuals with ulcerative colitis, but the primary cause of anemia in this condition is chronic blood loss.
Choice D reason:
Intestinal parasites are not a common factor in ulcerative colitis and are not a primary cause of anemia in this condition. Chronic blood loss is the main contributing factor.
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