A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

Macaroni and cheese

Roast turkey

Ice cream

Creamed chicken

Answer and Explanation

The Correct Answer is B

Choice A reason: Macaroni and cheese is high in fat due to the cheese content, which can exacerbate symptoms of cholecystitis. Patients with cholecystitis should avoid high-fat foods to prevent gallbladder irritation.
Choice B reason: Roast turkey, if prepared without added fats, is a lean protein option that is suitable for a cholecystitis diet. It provides necessary nutrients without the high fat content that could trigger symptoms.
Choice C reason: Ice cream is high in fat and sugar, making it unsuitable for someone with cholecystitis. High-fat foods can lead to increased bile production and gallbladder contractions, causing pain and discomfort.
Choice D reason: Creamed chicken typically contains high amounts of fat from cream, which should be avoided by cholecystitis patients to prevent aggravating their condition.

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Correct Answer is A

Explanation

Choice A reason: Impaired skin integrity is a significant risk due to the constant exposure of the skin around the stoma to urine, which can lead to irritation and breakdown. Proper skin care and stoma care are essential to prevent complications.
Choice B reason: Disturbed body image is also a risk as the client adjusts to the physical changes and the presence of a stoma, which can impact self-esteem and body perception.
Choice C reason: Fluid volume deficit can occur if the client does not maintain adequate fluid intake or if there is significant leakage from the stoma. Monitoring fluid balance is crucial.
Choice D reason: Anxiety is common as clients adapt to managing a new ostomy, worrying about potential complications, and coping with changes in body function.
Choice E reason: Infection is a risk due to the exposure of the stoma and surrounding skin to bacteria from the urine. Proper hygiene and care are vital to prevent infections.

A. Epigastric-area pain that intensifies when the patient is lying down B. Right upper-quadrant pain radiating to the shoulder and scapula C. Right lower-quadrant pain with rebound tenderness D. Left-flank pain with intermittent exacerbations

Correct Answer is B

Explanation

Choice A reason: Epigastric-area pain that intensifies when lying down is more commonly associated with conditions like gastroesophageal reflux disease (GERD) or pancreatitis, rather than cholecystitis.
Choice B reason: Right upper-quadrant pain radiating to the shoulder and scapula is a classic symptom of cholecystitis. This pain is due to inflammation of the gallbladder, often aggravated by fatty meals, and may radiate to the back and shoulder.
Choice C reason: Right lower-quadrant pain with rebound tenderness is typically associated with appendicitis rather than cholecystitis. Cholecystitis primarily affects the right upper quadrant.
Choice D reason: Left-flank pain with intermittent exacerbations is not characteristic of cholecystitis. It might indicate conditions related to the left kidney or other left-sided abdominal issues.

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A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

Nursing Test Bank

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