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 B

Explanation

A. Headache
Headache is not a common side effect of lactulose.

B. Diarrhea
Lactulose is a laxative often prescribed for patients with cirrhosis to prevent or treat hepatic encephalopathy. Its primary side effect is diarrhea, which helps remove excess ammonia from the body, a substance that can exacerbate encephalopathy in patients with liver disease.

C. Peripheral edema
Peripheral edema is not a typical side effect of lactulose.

D. Dry mouth
Dry mouth is not a typical side effect of lactulose.

A. Troponin B. Albumin C. D-dimer D. Creatinine

Correct Answer is B

Explanation

A. Troponin:
Troponin is a protein found in the heart muscle. Elevated levels of troponin in the blood indicate damage to the heart, often due to a heart attack or other cardiac issues. This marker is crucial in diagnosing heart-related problems.

B. Albumin:
Albumin is a protein produced by the liver and is essential for maintaining blood volume and regulating fluid balance. It also helps transport various substances in the blood. Low levels of albumin are indicative of malnutrition, liver disease, or kidney disorders.

C. D-dimer:
D-dimer is a substance in the blood that is released when a blood clot breaks up. Elevated levels of D-dimer can indicate the presence of an abnormal blood clot, but it is not specific to malnutrition. It is often used in diagnosing conditions like deep vein thrombosis (DVT) or pulmonary embolism (PE).

D. Creatinine:
Creatinine is a waste product produced by the muscles and excreted by the kidneys. Creatinine levels in the blood can indicate how well the kidneys are functioning. Elevated levels can suggest kidney damage or other kidney-related issues but are not directly related to malnutrition.

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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 caring for a client who has cirrhosis and a prescription for lactulose. Following administration, the nurse should monitor the client for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is planning care for a client who has anorexia and has manifestations of malnutrition. When reviewing the client's laboratory values. which of the following test results should the nurse expect to be low?

Correct Answer is B

Explanation

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