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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?

"You can take over-the-counter pain medications like ibuprofen for relief."

"I will inform the doctor to order strong opioids for pain management."

"Try applying a heating pad to your abdomen to ease the pain."

"I will assist you in changing positions and performing deep breathing exercises."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Over-the-counter pain medications may not be sufficient to alleviate severe pain associated with gallstone obstruction.

Choice B reason:

This statement is correct. Severe pain caused by gallstone obstruction requires stronger pain management, and opioids may be prescribed to manage the pain effectively.

Choice C reason:

Applying a heating pad may not provide adequate pain relief for gallstone obstruction and could worsen the condition.

Choice D reason:

Position changes and deep breathing exercises may be helpful in some situations, but they are unlikely to provide sufficient relief for severe pain due to gallstone obstruction.

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Correct Answer is D

Explanation

Choice A reason:

Antacids are not typically associated with an increased risk of gallstone formation.

Choice B reason:

Statins are used for cholesterol management and are not directly associated with gallstone formation.

Choice C reason:

Antibiotics are used to treat infections and do not significantly impact the risk of gallstone formation.

Choice D reason:

This statement is correct. Hormonal contraceptives, especially those containing estrogen, are associated with an increased risk of gallstone formation due to their impact on cholesterol metabolism in the gallbladder.

A. Maintain NPO (nothing by mouth) status for 8 hours before the procedure. B. Administer a cleansing enema on the morning of the procedure. C. Withhold all medications for 24 hours before the procedure. D. Provide a high-fat meal before the procedure.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

Correct Answer is D

Explanation

A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Correct Answer is A

Explanation

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

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

A nurse is assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?

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 is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?