Author Question: The client is experiencing blockage of the common bile duct. Which of the following food selections ... (Read 32 times)

Brittanyd9008 · **on:** Jul 22, 2018

The client is experiencing blockage of the common bile duct. Which of the following food selections made by the client indicates the need to plan for further diet teaching?

1. Rice
2. Whole milk
3. Broiled fish
4. Baked chicken

Question 2

The nurse is collecting data from a client seen in the health care clinic for a first prenatal visit. The nurse asks the client when the first day of her last menstrual period was and the client reports February 9, 2012.

Using Ngele's rule, the nurse determines that the estimated date of con-finement (delivery) is: 1. October 16, 2012
2. November 16, 2012
3. October 7, 2012
4. November 7, 2012

Danny Ewald · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: Bile acids or bile salts are produced by the liver to emulsify or break down fats. Blockage of the common bile duct impedes the flow of bile from the gallbladder to the duodenum, thus preventing breakdown of fatty intake. Knowledge of this should direct you to whole milk. Dairy products, such as whole milk, ice cream, butter, and cheese, are high in cholesterol and fat and should be avoided.

Answer to Question 2

2

Rationale: Ngele's rule determines the estimated date of birth and works on the premise that the woman has a 28-day menstrual cycle. To calculate the estimated date of confinement, sub-tract 3 months from the first day of the last menstrual period, add 7 days, and then add 1 year to that date; alternatively, count forward 9 months and add 7 days to the first day of the last men-strual period. Therefore, first day of last menstrual period, February 9, 2012; subtract 3 months, November 9, 2011; add 7 days, November 16, 2011; and add 1 year, November 16, 2012.