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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 C

Explanation

Choice A reason:

Increasing the intake of fatty foods is not a recommended preventive measure for gallstones, especially in an overweight client.

Choice B reason:

Avoiding all carbohydrates is not necessary for gallstone prevention and may not be a healthy approach to weight management.

Choice C reason:

This statement is correct. Focusing on consuming a low-fat diet is an essential preventive measure for reducing the risk of gallstone formation, especially in overweight individuals.

Choice D reason:

Consuming large portions of dairy products is not a specific preventive measure for gallstones. A balanced diet with limited fat intake is recommended.

A. "Lithotripsy is a surgical procedure that involves removing the gallbladder." B. "During lithotripsy, sound waves are used to break up the gallstones into smaller pieces." C. "Lithotripsy is a medication that helps dissolve gallstones." D. "Lithotripsy is a diagnostic test to identify the location of the gallstones."

Correct Answer is B

Explanation

Choice A reason:

Lithotripsy is not a surgical procedure to remove the gallbladder. It is a non-invasive method to break up gallstones.

Choice B reason:

This statement is correct. Lithotripsy involves using sound waves to break up gallstones into smaller fragments that can pass through the bile ducts.

Choice C reason:

Lithotripsy is not a medication. It is a procedure used to treat gallstones.

Choice D reason:

Lithotripsy is not a diagnostic test. It is a therapeutic procedure to treat gallstones.

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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 providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

Correct Answer is C

Explanation

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

Correct Answer is B

Explanation

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 nurse is providing patient education to a client with a history of cholelithiasis. The client asks about dietary modifications to prevent gallstones. What is the nurse's best response?

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 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 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?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?

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

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?