The nurse is contributing to the teaching plan for a patient recovering from a cholecystectomy. Which dietary modification should the nurse recommend for the first few weeks after surgery?
a. Decrease intake of fresh fruits and vegetables to minimize pressure on the small intestine.
b. Consume at least four servings of meat, cheese, and peanut butter daily to boost protein intake and aid healing.
c. Distribute fat intake in small portions throughout the day to prevent excessive fat in the intestine at any one time.
d. Take pancreatic enzymes with meals to replace enzymes that would normally have been secreted before the cholecystectomy.
ANS: C
Patients are put on high-protein, low-fat diets. Fat should be slowly reintroduced into the diet. Once the duodenum becomes accustomed to constant infusion of bile, the patient's individual tolerance for fat becomes the only restriction for diet. A. Fruits and vegetables are not contraindicated. B. Meat, cheese, and peanut butter are high in fat. D. Pancreatic enzymes are not necessary—the pancreas has not been removed.
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