A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

Choice A reason:

Avoiding foods high in fiber is not recommended to reduce gallstone formation. In fact, a diet high in fiber can promote regular bowel movements and may be beneficial in preventing gallstone formation.

Choice B reason:

Limiting fluid intake is not recommended to manage chronic cholecystitis. Staying adequately hydrated is essential for overall health and can help prevent gallstone formation.

Choice C reason:

This statement is correct. Avoiding fatty and greasy foods is recommended to manage chronic cholecystitis. These foods can trigger gallbladder contractions and exacerbate symptoms in individuals with gallstones or chronic inflammation.

Choice D reason:

Increasing the intake of carbonated beverages is not recommended to improve digestion or manage chronic cholecystitis. Carbonated beverages can potentially worsen symptoms in some individuals with gallbladder conditions.

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.