A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

"Increase your intake of fatty foods to stimulate bile production."

"Avoid all carbohydrates to reduce the risk of gallstone formation."

"Focus on consuming a low-fat diet to prevent gallstones."

"Consume large portions of dairy products to maintain gallbladder health."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Increasing the intake of fatty foods is not a recommended preventive measure for gallstones, especially in an overweight client.

Choice B reason:

Avoiding all carbohydrates is not necessary for gallstone prevention and may not be a healthy approach to weight management.

Choice C reason:

This statement is correct. Focusing on consuming a low-fat diet is an essential preventive measure for reducing the risk of gallstone formation, especially in overweight individuals.

Choice D reason:

Consuming large portions of dairy products is not a specific preventive measure for gallstones. A balanced diet with limited fat intake is recommended.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

A. "You need to fast for 24 hours before the test." B. "You should avoid drinking water for 6 hours before the test." C. "You can eat a low-fat meal before the test." D. "There are no specific dietary restrictions for this test."

Correct Answer is C

Explanation

Choice A reason:

Fasting for 24 hours is not necessary for an abdominal ultrasound for cholelithiasis evaluation.

Choice B reason:

Avoiding drinking water for 6 hours before the test is not required for an abdominal ultrasound.

Choice C reason:

This statement is correct. Clients undergoing an abdominal ultrasound for suspected cholelithiasis may be asked to eat a low-fat meal before the test to stimulate gallbladder contraction and enhance visualization of the gallbladder and bile ducts.

Choice D reason:

While there may be no specific dietary restrictions, eating a low-fat meal is often recommended to facilitate the evaluation of cholelithiasis during the ultrasound.

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A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Correct Answer is A

Explanation

A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

Correct Answer is C

Explanation

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A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?