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.

Answer and Explanation

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 A

Explanation

Choice A reason:

This statement is correct. A family history of gallbladder disease is a significant risk factor for cholelithiasis, and the 25-year-old male is at the highest risk among the options provided.

Choice B reason:

A low-fat diet and regular exercise may help reduce the risk of developing cholelithiasis, so the 40-year-old female is at a lower risk compared to the other options.

Choice C reason:

A history of diabetes and hypertension may increase the risk of certain health problems, but they are not the primary risk factors for cholelithiasis in this context.

Choice D reason:

Undergoing bariatric surgery for weight loss may affect the risk of developing gallstones, but it is not the highest risk factor among the options provided.

A. "The ultrasound will help assess the blood flow to your liver." B. "The test will provide detailed images of your gallbladder and check for gallstones." C. "The ultrasound will measure the acidity levels in your stomach." D. "The test is done to evaluate your kidney function."

Correct Answer is B

Explanation

Choice A reason:

Assessing blood flow to the liver is not the primary purpose of an abdominal ultrasound in a client with suspected cholelithiasis.

Choice B reason:

This statement is correct. An abdominal ultrasound is a non-invasive imaging test that provides detailed images of the gallbladder and surrounding structures, helping to visualize the presence of gallstones and assess the gallbladder's condition.

Choice C reason:

Measuring acidity levels in the stomach is not related to the diagnostic evaluation of cholelithiasis.

Choice D reason:

Evaluating kidney function is not the primary purpose of an abdominal ultrasound for a client with suspected cholelithiasis.

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A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

Correct Answer is A

Explanation

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

A client has been diagnosed with cholelithiasis and is experiencing severe pain due to gallstone obstruction. The client asks the nurse about pain relief measures. What is the most appropriate response by the nurse?

A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

A nurse is conducting a health education session for a group of individuals at risk of developing cholelithiasis. Which lifestyle modification should the nurse recommend to help prevent the formation of gallstones?

A client with a history of cholelithiasis is interested in natural remedies to prevent the recurrence of gallstones. Which herbal supplement should the nurse caution the client against using?

A client with cholelithiasis is prescribed ursodeoxycholic acid. Which statement by the client indicates understanding of the medication's purpose?

A nurse is providing discharge instructions to a client who underwent cholecystectomy for cholelithiasis. Which statement by the client indicates a need for further teaching?