A nurse is reinforcing dietary Instructions with a client who has episodes of billary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?

A high protein diet

A high fiber diet

A low sodium diet

A low fat diet

Answer and Explanation

The Correct Answer is D

A. A high protein diet: While protein is essential, there is no specific indication for a high protein diet in managing chronic cholecystitis. The focus is more on reducing fat intake.

B. A high fiber diet: While a high fiber diet is generally healthy, it is not specifically emphasized for managing chronic cholecystitis. The emphasis is on reducing fat intake.

C. A low sodium diet: Sodium restriction is important for conditions like hypertension and heart failure. While it’s good for overall health, it's not a primary focus for managing chronic cholecystitis. Again, the emphasis is on reducing fat intake to prevent gallbladder attacks.

D. A low-fat diet

This is the correct answer. A low-fat diet is often recommended for individuals with chronic cholecystitis or gallstones. A low-fat diet helps to reduce the workload on the gallbladder, as fatty foods can trigger gallbladder attacks.

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Correct Answer is ["2.5"]

Explanation

The stock concentration of famotidine oral solution is 40mg/5ml

The ordered dose is 20mg \).

To find out how many milliliters (mL) of the solution to administer, we can set up a proportion.

40mg/5ml = 20mg/ dose to administer

Cross-multiplying, we get:

40mg * Dose to Administer (mL) = 20mg*5ml

Dose to Administer (mL) = 20mg * 5 mL/ 40mg

Simplifying:

Dose to Administer (mL) = 100/40 ml

Dose to Administer (mL) = 2.5mL

So, the nurse should administer 2.5 mL of the famotidine oral solution per dose.

A. Perform leg exercises every 2 hr. B. Irrigate the nasogastric tube every 4 to 8 hr. C. Maintain bed rest for 48 hr following surgery. D. Encourage hourly use of an incentive spirometer while awake. E. Document the color, consistency, and amount of nasogastric drainage.

Correct Answer is ["A","D","E"]

Explanation

A. Perform leg exercises every 2 hr: This is a good practice for any postoperative patient to prevent blood clots and maintain circulation. It's especially important for patients who might be relatively immobile due to surgery.

B. Irrigate the nasogastric tube every 4 to 8 hr: This is generally not a standard procedure. Nasogastric tubes are typically used for drainage or feeding. If there's a blockage or other issue, healthcare providers might intervene, but routine irrigation is not commonly done.

C. Maintain bed rest for 48 hr following surgery: While some rest might be necessary immediately after surgery, the trend in modern healthcare is to encourage mobility as soon as it's safe. Early mobilization can prevent complications such as blood clots and aid in recovery.

D. Encourage hourly use of an incentive spirometer while awake: Incentive spirometry is often encouraged postoperatively to prevent lung complications like atelectasis. Regular use helps keep the lungs expanded and functioning optimally.

E. Document the color, consistency, and amount of nasogastric drainage: This is crucial. Monitoring the drainage can provide important information about the patient's condition, such as bleeding or the effectiveness of the treatment. Any changes should be reported to the healthcare provider.

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A nurse is reinforcing dietary Instructions with a client who has episodes of billary colic from chronic cholecystitis. Which of the following diets should the nurse reinforce in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2.5"]

Explanation

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client's plan of care? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Before responding, which of the following questions should the nurse first ask the client?

A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?