A client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that:
A. “Most people need to eat a high protein diet for 12 months after surgery”
B. “I should not eat those foods that upset me before the surgery”
C. “I should avoid fatty foods as long as I live”
D. “Most people can tolerate regular diet after this type of surgery”
Correct Answer: D. “Most people can tolerate regular diet after this type of surgery”
It may take 4 to 6 months to eat anything, but most people can eat anything they want. Start with clear liquids after the surgery to prevent nausea, vomiting, and constipation, (soup, Jell-O, juices, popsicles, and carbonated beverages.) then advance to a regular low-fat diet. Eat smaller meals more often instead of fewer larger meals.
Option A: A high protein diet is unnecessary. A healthy meal should include small amounts of lean protein. If the patient has diarrhea, he should try avoiding spicy foods, dairy products, fatty foods, and alcohol. If diarrhea continues for more than 2 weeks, he should talk to his doctor.
Option B: High-fat foods should be avoided not only before the surgery, but it should be restricted a week after surgery as well. The patient can eat a normal diet, but avoid eating fatty foods for about one (1) month. Fatty foods include hamburgers, whole milk, cheese, and many snack foods. If the stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt
Option C: Fatty foods, fried and greasy foods, and sauces should be avoided for at least a week after surgery. Eat lots of whole grains, fruits, and green leafy vegetables. Avoid foods that cause constipation such as dairy products, red meat, processed foods such as pizza, frozen dinners, pasta, and sugar products such as cakes, pies, pastries, doughnuts, and drinks containing caffeine.