A nurse is teaching a client about the modifiable risk factors for gallbladder disease. The nurse determines that the client understands the teaching when the client states which of the following?
1. "I will lose no more than 2 pounds per week and will exercise more.".
2. "I will quit taking my birth control pills.".
3. "My estrogen replacement pills should help prevent gallbladder disease.".
4. "Thankfully, my diabetes is not related to gallbladder disease.".
"I will lose no more than 2 pounds per week and will exercise more.".
Rationale: Rapid weight loss is associated with gallbladder disease, so the client should be advised to lose weight at a pace of 2 pounds per week. Exercise helps to diminish the risk factors, such as obesity and high lipid levels. Persons taking birth control pills and estrogen replacement (hormone replacement) have a higher risk factor associated with gallbladder disease. Diabetes, Crohn's disease, and cirrhosis are associated with a higher incidence of gallbladder disease.
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