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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Gallstone formation is not a concern after cholecystectomy since the gallbladder has been removed.
Choice B reason:
This statement is correct. Proper incision care is essential to prevent infection and complications at the surgical site after laparoscopic cholecystectomy.
Choice C reason:
Dietary recommendations for constipation are not directly related to laparoscopic cholecystectomy and may not address the client's concerns about complications.
Choice D reason:
While discussing potential complications of general anesthesia is essential for preoperative education, it may not be the primary concern for a client recovering from cholecystectomy.
Correct Answer is B
Explanation
Choice A reason:
Administering an antipyretic medication may help reduce the fever, but it does not address the underlying issue of the suspected infection. Notifying the healthcare provider about the client's symptoms is the priority action.
Choice B reason:
This statement is correct. The nurse should notify the healthcare provider immediately about the client's severe pain, fever, and chills to initiate appropriate assessment and treatment for a possible infection.
Choice C reason:
Encouraging the client to increase oral fluid intake is important for overall hydration, but it may not be the priority action when an infection is suspected.
Choice D reason:
Placing a heating pad on the client's abdomen may provide temporary relief for discomfort but is not appropriate when the client has a fever and suspected infection.
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