Author Question: A patient wants to reduce the risk of developing gallstones and cholecystitis. What should the nurse ... (Read 24 times)

asan beg · **on:** Jun 25, 2018

A patient wants to reduce the risk of developing gallstones and cholecystitis. What should the nurse instruct this patient?

Select all that apply.
1. Walk for 30 minutes five times a week.
2. Eat a low-fiber, high-carbohydrate diet.
3. Eat unsaturated rather than saturated fats.
4. Eat a low-carbohydrate diet.
5. Lose weight by any means possible.

Question 2

The patient with acute cholelithiasis asks why a nasogastric tube has to be inserted. What is the nurse's best response?

1. You have not been able to follow your prescribed diet and exercise plan.
2. We need to suck the bile out through your nose as it isn't going to your duodenum.
3. Keeping your stomach empty allows your gallbladder to rest, reducing pain.
4. The tube will prevent pancreatitis.

meryzewe · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 4
Physical activity, a high-fiber, low-carbohydrate diet, and consumption of unsaturated fats all appear to have a protective effect, reducing the incidence of cholelithiasis and cholecystitis. A low-fiber, high-carbohydrate diet would not prevent the development of gallstones. The dangers of yo-yo dieting and extremely low-calorie diets should be reviewed with the patient.

Answer to Question 2

Correct Answer: 3
Emptying the stomach reduces the amount of chyme entering the duodenum and the stimulus for gallbladder contractions, thus reducing pain. The nasogastric tube is not placed because the patient has not been following a prescribed diet or exercise plan. The tube is not inserted to remove bile. It reduces nausea and vomiting; its use is not related to the prevention of pancreatitis.