After teaching a client who has a history of cholelithiasis, the ...

[lidoalex]

After teaching a client who has a history of cholelithiasis, the nurse assesses the client's understanding. Which menu selection made by the client indicates the client clearly understands the dietary teaching?
 
  a. Lasagna, tossed salad with Italian dressing, and low-fat milk
  b. Grilled cheese sandwich, tomato soup, and coffee with cream
  c. Cream of potato soup, Caesar salad with chicken, and a diet cola
  d. Roasted chicken breast, baked potato with chives, and orange juice

Question 2

A nurse plans care for a client with acute pancreatitis. Which intervention should the nurse include in this client's plan of care to reduce discomfort?
 
  a. Administer morphine sulfate intravenously every 4 hours as needed.
  b. Maintain nothing by mouth (NPO) and administer intravenous fluids.
  c. Provide small, frequent feedings with no concentrated sweets.
  d. Place the client in semi-Fowler's position with the head of bed elevated.

[angrybirds13579]

Answer to Question 1

ANS: D
Clients with cholelithiasis should avoid foods high in fat and cholesterol, such as whole milk, butter, and fried foods. Lasagna, low-fat milk, grilled cheese, cream, and cream of potato soup all have high levels of fat. The meal with the least amount of fat is the chicken breast dinner.

Answer to Question 2

ANS: B
The client should be kept NPO to reduce GI activity and reduce pancreatic enzyme production. IV fluids should be used to prevent dehydration. The client may need a nasogastric tube. Pain medications should be given around the clock and more frequently than every 4 to 6 hours. A fetal position with legs drawn up to the chest will promote comfort.