A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?
Instructing the client to eat a high-fat diet to prepare for the surgery.
Demonstrating deep-breathing exercises to promote lung expansion postoperatively.
Explaining the importance of ambulating immediately after surgery.
Discussing the possibility of experiencing diarrhea after the surgery.
The Correct Answer is B
Choice A reason:
Instructing the client to eat a high-fat diet before surgery is not appropriate and may exacerbate the symptoms of cholelithiasis. The client should follow a low-fat diet instead.
Choice B reason:
This statement is correct. Demonstrating deep-breathing exercises helps promote lung expansion postoperatively and prevents respiratory complications after anesthesia and surgery.
Choice C reason:
While ambulating is essential after surgery, it may not be the primary focus of preoperative education for a client undergoing cholecystectomy for cholelithiasis.
Choice D reason:
Discussing the possibility of experiencing diarrhea after the surgery is not a priority in preoperative education for a client with cholelithiasis undergoing cholecystectomy.
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Correct Answer is C
Explanation
Choice A reason:
Indigestion and discomfort are potential issues, but the primary reason for a low-fat diet after cholecystectomy is related to gallstone prevention and liver function.
Choice B reason:
There is no direct link between fatty foods and medication absorption in the context of post-cholecystectomy care.
Choice C reason:
This statement is correct. Following a low-fat diet after cholecystectomy helps prevent the formation of new gallstones and reduces stress on the liver, as the gallbladder's role in storing and releasing bile for
fat digestion is compromised.
Choice D reason:
While fatty foods can lead to digestive problems for some individuals, the primary concern in a client post-cholecystectomy is gallstone prevention and liver support.
Correct Answer is C
Explanation
Choice A reason:
Eructation refers to belching or burping and is not related to excessive gas after meals.
Choice B reason:
Borborygmi refers to stomach growling or rumbling and is not related to the client's symptom.
Choice C reason:
This statement is correct. Flatulence refers to the passing of excessive gas from the digestive system, which can cause feelings of bloating and discomfort after meals, as reported by the client.
Choice D reason:
Ascites refers to the accumulation of fluid in the abdominal cavity and is not related to the client's symptom.
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