NCLEX Questions on Gastrointestinal System Related

Review NCLEX Questions on Gastrointestinal System related questions and content

A patient with chronic cholecystitis asks the nurse whether she will need to continue a low-fat diet after she has a cholecystectomy. What is the best response by the nurse?

  • A. A low-fat diet will prevent the development of further gallstones and should be continued.'
  • B. Yes; because you will not have a gallbladder to store bile, you will not be able to digest fats adequately.'
  • C. A low-fat diet is recommended for a few weeks after surgery until the intestine adjusts to receiving a continuous flow of bile.'
  • D. Removal of the gallbladder will eliminate the source of your pain associated with fat intake, so you may eat whatever you like.'
Correct Answer: C

Rationale: The correct answer is C because after a cholecystectomy, the gallbladder is removed, and bile flows continuously from the liver into the intestine. Initially, the intestine may struggle to adjust to this continuous flow of bile, leading to difficulty in digesting fats. Therefore, a low-fat diet is recommended for a few weeks post-surgery to aid in this adjustment period. This answer acknowledges the temporary need for a low-fat diet until the body adapts.

Choice A is incorrect because the primary purpose of a low-fat diet post-cholecystectomy is not to prevent further gallstones but to aid in fat digestion. Choice B is incorrect as the body can still digest fats adequately even without a gallbladder, though it may take some time to adjust. Choice D is incorrect because while the pain associated with fat intake may be eliminated, it is still important to follow dietary recommendations post-surgery for optimal recovery.