Gastrointestinal
Questions and
Answers
, ATI Adult Gastrointestinal Questions and Answers
A nurse is preparing dietary instructions for a client who has episodes of biliary
colic from chronic cholecystitis. Which of the following instructions should the
nurse include in the teaching plan?
A. Include foods high in starch and proteins
Foods high in starch and proteins do not affect the episodes of biliary colic.
B. Include foods high in fiber.
A high-fiber diet does not affect the episodes of biliary colic.
C. Avoid foods high in fat.
The nurse should instruct the client to follow a low-fat diet to decrease episodes of biliary colic. A
client who has chronic cholecystitis has intolerance to fatty foods.
D. Avoid foods high in sodium.
A low-sodium diet does not affect the episodes of biliary colic.
A nurse is providing teaching for a client who has gastroesophageal reflux
disease (GERD) about ways to manage his condition. Which of the following
instructions should the nurse include?
"Sleep on your left side."
The nurse should recommend that the client sleep with the head of his bed elevated or that the
client uses a large wedge-style pillow to elevate his head.
"Drink milk to soothe your stomach."
Although in the past, clients who have GERD were encouraged to increase their intake of milk,
this approach is no longer recommended.
"Eat four small meals each day."
The client should avoid eating large meals because of the pressure it places on the stomach.
Instead, he should eat four to six small meals per day.
"Wait to go to bed for 1 hr after eating."
The client should wait at least 3 hr after eating before going to bed.
A nurse is teaching a client who has cholecystitis about required dietary
modifications. The nurse should include which of the following foods as
appropriate for the clients diet?
A. Ice cream
The total amount of fat in the diet should be reduced. Ice cream and other whole-milk products
should be avoided to reduce the symptoms associated with cholecystitis.
B. Roast turkey
Roast turkey is a low-fat protein that is an appropriate choice for inclusion in the client’s diet.
Low-fat food decreases stimulation of the gallbladder, thereby reducing associated symptoms.
C. Creamed chicken
The total amount of fat in the diet should be reduced. Creams should be avoided to reduce the
symptoms associated with cholecystitis
D. Mac n cheese