Author Question: The nurse is preparing instructions for a patient who is at risk for cholelithiasis. What lifestyle ... (Read 69 times)

bobbie · **on:** Jun 25, 2018

The nurse is preparing instructions for a patient who is at risk for cholelithiasis. What lifestyle modification should the nurse include in this teaching?

1. Reduce sodium intake.
2. Increase fluids.
3. Reduce smoking.
4. Reduce fat consumption.

Question 2

An older patient is diagnosed with severe acute diverticulitis. What treatment should the nurse expect to be prescribed for this patient?

Select all that apply.

1. complete bed rest
2. intravenous fluids
3. nothing by mouth
4. aspirin or NSAIDs for pain
5. intravenous cefoxitin (Mefoxin)

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

Answer to Question 1

Correct Answer: 4
Most gallstones consist primarily of cholesterol. Excess cholesterol in the bile is associated with obesity and a high-calorie, high-cholesterol diet. While all patients should be instructed to reduce sodium intake and stop smoking, these steps would not assist in reducing cholelithiasis or its pain. Increasing fluids would also not assist in reducing cholelithiasis or its pain.

Answer to Question 2

Correct Answer: 2, 3, 5
Severe, acute attacks of diverticulitis often necessitate hospitalization and treatment with intravenous fluids and antibiotics such as cefoxitin (Mefoxin) a second-generation cephalosporin. The patient initially may be NPO. There is no need for the patient to be on complete bed rest. There is no specific recommendation for pain medications for acute diverticulitis.