when counseling a client in ways to prevent cholecystitis which of the following guidelines is most important

ATI RN

ATI Gastrointestinal System

1. When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important?

A. Eat a low-protein diet
B. Eat a low-fat, low-cholesterol diet
C. Limit exercise to 10 minutes/day
D. Keep weight proportionate to height

Correct answer: B

Rationale: Eating a low-fat, low-cholesterol diet is most important for preventing cholecystitis.

2. Which of the following substances is most likely to cause gastritis?

A. Milk
B. Bicarbonate of soda or baking soda
C. Enteric-coated aspirin
D. Nonsteroidal anti-inflammatory drugs (NSAIDs)

Correct answer: D

Rationale: The correct answer is D, Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to cause gastritis by irritating the stomach lining. Choice A, Milk, is unlikely to cause gastritis and is actually a common remedy for mild gastritis symptoms. Choice B, Bicarbonate of soda or baking soda, is often used to relieve heartburn and indigestion, not cause gastritis. Choice C, Enteric-coated aspirin, is less likely to cause gastritis compared to NSAIDs because the enteric coating helps protect the stomach lining from irritation.

3. A client with rectal cancer may exhibit which of the following symptoms?

A. Abdominal fullness
B. Gastric fullness
C. Rectal bleeding
D. Right upper quadrant pain

Correct answer: C

Rationale: Rectal bleeding is a common symptom in clients with rectal cancer.

4. If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client?

A. Blood replacement
B. Antacid administration
C. Nasogastric tube suction
D. Fluid and electrolyte replacement

Correct answer: B

Rationale: Antacid administration should not be included in the immediate management of a gastric perforation.

5. The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:

A. Severe and unrelenting, located in the epigastric area and radiating to the back.
B. Severe and unrelenting, located in the left lower quadrant and radiating to the groin.
C. Burning and aching, located in the epigastric area and radiating to the umbilicus.
D. Burning and aching, located in the left lower quadrant and radiating to the hip.

Correct answer: A

Rationale: Acute pancreatitis typically presents with severe, unrelenting pain in the epigastric area that radiates to the back. This pain is due to inflammation and autodigestion of the pancreas.