A client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

"Laparoscopic surgery involves a smaller incision, resulting in less postoperative pain and a shorter hospital stay."

"Open surgery is preferred for cholecystitis as it allows for better visualization and reduces the risk of surgical complications."

"Both laparoscopic and open surgeries have similar outcomes, but laparoscopic surgery has a longer recovery time."

"You can choose either type of surgery, but laparoscopic surgery is associated with a higher risk of postoperative infection."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Laparoscopic cholecystectomy involves making several small incisions, resulting in less postoperative pain, reduced scarring, and a shorter hospital stay compared to open surgery.

Choice B reason:

Open surgery may have advantages in certain situations, but for uncomplicated cases of acute cholecystitis, laparoscopic surgery is generally preferred due to its minimally invasive nature.

Choice C reason:

Laparoscopic surgery is associated with a shorter recovery time and faster return to normal activities compared to open surgery.

Choice D reason:

Laparoscopic surgery is not associated with a higher risk of postoperative infection. In fact, it is known for having lower rates of surgical site infections compared to open surgery.

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Correct Answer is C

Explanation

Choice A reason:

Serum amylase is typically elevated in pancreatitis, not cholecystitis.

Choice B reason:

Blood urea nitrogen (BUN) is a kidney function marker and is not directly related to cholecystitis.

Choice C reason:

This statement is correct. Serum bilirubin is commonly elevated in cholecystitis due to bile duct obstruction or impaired bile flow. Elevated bilirubin levels can cause jaundice (yellowing of the skin and eyes) in some cases.

Choice D reason:

C-reactive protein (CRP) is a marker of inflammation and can be elevated in various conditions, including cholecystitis. However, it is not specific to cholecystitis and may also be elevated in other inflammatory processes.

A. "Deep breathing exercises can help prevent postoperative infection." B. "Deep breathing exercises can strengthen your abdominal muscles." C. "Deep breathing exercises can promote lung expansion and prevent respiratory complications." D. "Deep breathing exercises can help reduce the risk of gallstone formation."

Correct Answer is C

Explanation

Choice A reason:

Deep breathing exercises do not directly prevent postoperative infection. However, they can help with postoperative lung expansion and prevent respiratory complications, indirectly reducing the risk of infection.

Choice B reason:

While deep breathing exercises can help improve respiratory function, they are not specifically targeted at strengthening abdominal muscles.

Choice C reason:

This statement is correct. Deep breathing exercises promote lung expansion and prevent atelectasis (partial lung collapse) after surgery. They help maintain adequate oxygenation and prevent respiratory complications.

Choice D reason:

Deep breathing exercises are not directly related to reducing the risk of gallstone formation. Gallstone formation is primarily influenced by factors such as diet, bile composition, and gallbladder function.

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A client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

Correct Answer is C

Explanation

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

Correct Answer is C

Explanation

A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

A client is recovering from a cholecystectomy and asks the nurse about dietary recommendations post-surgery. Which of the following responses should the nurse provide?

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

A nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?