A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

Encourage deep breathing and coughing exercises.

Place the client in a supine position with legs elevated.

Allow the client to have a regular diet until the surgery.

Administer anticoagulants to prevent postoperative complications.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.

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Correct Answer is C

Explanation

Choice A reason:

Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.

Choice B reason:

While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.

Choice C reason:

This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.

Choice D reason:

Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.

A. "Don't worry, cholecystectomy is a routine procedure with minimal risks." B. "You should avoid thinking about the surgery until the day of the procedure." C. "Tell me more about your fears and concerns regarding the surgery." D. "I had the same surgery before, and everything went perfectly fine."

Correct Answer is C

Explanation

Choice A reason:

While cholecystectomy is a common procedure, minimizing the client's fear and anxiety by downplaying the risks is not appropriate. It is essential to acknowledge the client's concerns and address them appropriately.

Choice B reason:

Avoiding thinking about the surgery may not be helpful for the client. It is essential to encourage open communication and support the client in expressing their fears and concerns.

Choice C reason:

This statement is correct. Encouraging the client to express their fears and concerns allows the nurse to address them appropriately and provide the necessary support and information to reduce anxiety.

Choice D reason:

While sharing personal experiences can sometimes be helpful, it is essential to focus on the client's feelings and needs rather than diverting attention to the nurse's experience.

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A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

Correct Answer is C

Explanation

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

Correct Answer is C

Explanation

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

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A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

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A nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

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