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:

Age below 30 years is not a risk factor for developing cholecystitis. Cholecystitis is more commonly seen in individuals over the age of 40, especially in those with additional risk factors such as obesity or a high-fat diet.

Choice B reason:

Regular physical exercise is not considered a risk factor for cholecystitis. In fact, staying physically active is generally beneficial for overall health and may help reduce the risk of gallstone formation.

Choice C reason:

This statement is correct. Family history of gallstones is a significant risk factor for developing cholecystitis. Genetics can play a role in the composition of bile and the propensity to form gallstones.

Choice D reason:

Consuming a low-fat diet is not a risk factor for cholecystitis. On the contrary, a high-fat diet is associated with an increased risk of gallstone formation and subsequent cholecystitis.

A. "I should avoid fatty foods in my diet to prevent aggravating my condition." B. "I will take my prescribed antibiotics regularly to treat the infection." C. "I will increase my alcohol intake to help reduce inflammation in my gallbladder." D. "I will apply a warm compress to my abdomen to relieve the pain."

Correct Answer is C

Explanation

Choice A reason:

This statement is correct and does not indicate a need for further teaching. Avoiding fatty foods is essential in managing cholecystitis as it reduces the stimulation of the gallbladder and may prevent symptom exacerbation.

Choice B reason:

This statement is correct and does not indicate a need for further teaching. Taking prescribed antibiotics is important if the cholecystitis is caused by an infection, as it helps in treating the underlying cause.

Choice C reason:

This statement is incorrect and indicates a need for further teaching. Increasing alcohol intake can worsen inflammation and exacerbate cholecystitis symptoms. Clients with cholecystitis should avoid alcohol to support their recovery.

Choice D reason:

This statement is correct and does not indicate a need for further teaching. Applying a warm compress to the abdomen can help relieve pain associated with cholecystitis and promote comfort.

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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 client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?

Correct Answer is C

Explanation

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

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?

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

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?

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?