The nurse is teaching a patient about modifiable risk factors for cholelithiasis. What risk factors will the nurse discuss?
Select all that apply.
1. age
2. obesity
3. alternating weight loss and gain
4. family history
5. elevated serum cholesterol
Question 2A 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 3The 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.
Question 4A patient scheduled for a laparoscopic cholecystectomy in 4 days asks how pain can be controlled until the surgery. How should the nurse respond?
1. You will feel better if you sit in a recliner and drink water and try not to eat anything. Do not eat any fat.
2. You will feel better if you rest in bed and do not eat anything until the procedure. Drink only water and milk.
3. You will feel better if you alternate lying on your back and lying on your abdomen. You may eat anything except fatty food.
4. You will feel better if you walk as frequently as possible. You may drink coffee, but not soda.
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