Edapt - Nutrition - Nursing Application: Nutrition and Biliary Health
The nurse is speaking with Yolanda about dietary choices in the future, post cholecystectomy. It is important for the nurse to emphasize the importance of making healthy food choices. The client verbalizes understanding of the dietary education received with which statements? Select all that apply.
-"Fatty and fried foods should not be chosen." -"High fiber is essential for gastrointestinal (GI) health." -"I will eat small, frequent meals."
A client who has been recently diagnosed with cholecystitis calls the nurse to report continued nausea with eating any type of foods. What intervention can the nurse recommend?
Choose small frequent meals throughout the day
Yolanda expresses concern at the post-operative visit about the presence of gas, bloating and diarrhea. Yolanda said she thought that after the surgery, she would not have any other symptoms. She asks the health care provider what she can do to prevent future symptoms from occurring. How should the provider reply?
"When eating, select smaller amounts of fat."
When caring for a client with a recent diagnosis of cholecystitis, what dietary choices should the nurse encourage the client to eat? Select all that apply.
-Baked red potato slices -Grilled, skinless chicken breast -Frozen yogurt
A client who had a laparoscopic cholecystectomy is being prepared for discharge. Which finding would require additional assessment and possible intervention?
-Dime sized bleeding on 2x2 gauze with pain at incision site -Persistent vomiting and unable to keep anything down
A client with gallbladder disease has been advised to limit the consumption of high-fat foods. Which foods should the client avoid? Select all that apply.
-French fries -Ice cream -sugar
During Yolanda's initial presentation to the emergency department, she was experiencing an increase in pain and nausea. The attending physician was notified and ordered an abdominal ultrasound. The result of the ultrasound revealed a thickened gallbladder wall, common bile duct (CBD) diameter of 4.3 mm, and presence of multiple 1-2mm stones in the gallbladder Yolanda receives a diagnosis of cholecystitis. As the primary nurse caring for Yolanda, what would be appropriate interventions? Select all that apply.
-Nothing by mouth (NPO) -Intravenous (IV) fluid administration
The healthcare provider suspects an alteration in biliary function. In order to determine gallbladder disease, the nurse knows that assessment findings can aid in this determination. For the client with a diagnosis of cholecystitis, the pain is located in the _________ quadrant and can radiate to the __________ region.
-Right upper -Epigastric
Match the appropriate result with the laboratory test for a client with gallbladder disease.
-high leukocytes -elevated inflammatory marker -high bilirubin -elevated enzyme
Considering Yolanda's situation, what is the priority nursing diagnosis?
Acute pain
After Yolanda has been admitted, she is placed nothing by mouth (NPO) and started on intravenous fluids. To appropriately monitor her urine output, a foley catheter was inserted. The urine that is obtained is dark colored. What does the dark urine suggest?
Because your gallbladder is blocked, the bile is excreted in your urine
A healthcare provider is providing client teaching in how to modify their diet to reduce the incidence of gallbladder disease. Which of the following foods should be avoided?
High fat dairy products
The health care provider made a referral to a dietitian to help improve Yolanda's post-surgical dietary health. What is the role of the consulting dietitian?
Provide client teaching on nutritional therapy
Yolanda has consulted with a dietician. Place the foods into the correct columns to identify what food is recommended and what should be limited.
Recommended: -chicken -yogurt with skim milke -raw nuts -water -whole grain bread, pasta -blueberries -avocadoes Limited: -steak -alcohol -full-fat yogurt -coffee -cookies -soda -chocolate
When Yolanda returns to her room after an open cholecystectomy, she asks when she can eat or drink. What diet would the nurse expect to be prescribed for this client?
Remain nothing by mouth (NPO)
Which laboratory value provided above indicates a possible risk for infection?
White blood cell (WBC) count of 17,000/mm3