A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?
Cheddar cheese
Vegetable soup
Noodles
Baked fish
The Correct Answer is A
A. Cheddar cheese:
Cheddar cheese is high in fat, and individuals with a history of pancreatitis are often advised to limit their fat intake. High-fat foods can stimulate the pancreas to release digestive enzymes, potentially triggering or exacerbating pancreatitis.
B. Vegetable soup:
Depending on the ingredients, vegetable soup may or may not be high in fat. The key consideration is to choose soups that are not prepared with excessive amounts of fat or oil.
C. Noodles:
Noodles, by themselves, are not high in fat. However, the choice of sauce or toppings can impact the overall fat content of the meal. It's important to consider the entire composition of the dish.
D. Baked fish:
Baked fish is generally a lean protein source and is lower in fat compared to some other protein sources. Baked fish is often considered a suitable choice for individuals with a history of pancreatitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Clean the peristomal skin four times a day:
While keeping the peristomal skin clean is essential, cleaning it four times a day might be excessive and could lead to skin irritation. Typically, cleansing the area when changing the pouch or as needed is sufficient.
B. Hold pressure on the skin barrier for 10 to 15 seconds to secure the seal:
Applying gentle pressure upon application can assist in securing the seal, but the duration might vary based on the manufacturer's recommendations. It's important not to overly press or manipulate the barrier excessively, as it could cause skin trauma.
C. Empty the pouch when it is 1/3 full:
This is the correct advice. Regularly emptying the pouch prevents leakage and ensures the pouch does not become too heavy or cause skin irritation from weight or pressure.
D. Expect firm fecal content:
With an ileostomy, the fecal content tends to be more liquid compared to other types of ostomies like colostomies, so expecting firm fecal content might not be accurate for this situation.
Correct Answer is B
Explanation
A. Lactulose is not used to decrease potassium levels. It is a laxative that works by drawing water into the colon, softening stools and promoting bowel movements.
B. Lactulose is used to decrease ammonia levels in clients with cirrhosis. Ammonia is a byproduct of protein metabolism, and when the liver is compromised, it may not effectively convert ammonia into urea, leading to elevated ammonia levels in the bloodstream. Lactulose helps reduce ammonia absorption in the colon.
C. Lactulose does not decrease glucose levels significantly. It is not primarily used as an antidiabetic medication.
D. Lactulose does not affect bicarbonate levels significantly. It primarily targets ammonia reduction in clients with cirrhosis.
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