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 A

Explanation

Choice A reason:

This statement is correct. Administering an antiemetic medication can help alleviate nausea and vomiting, which are common side effects of opioid analgesics used for postoperative pain management.

Choice B reason:

Eating a high-fat diet is not recommended after cholecystectomy, as the gallbladder has been removed. Consuming high-fat foods may exacerbate symptoms and lead to digestive discomfort.

Choice C reason:

While nausea and vomiting can be common after surgery, it is important to address these symptoms to ensure the client's comfort and prevent dehydration or other complications.

Choice D reason:

Requesting additional opioids to manage pain may worsen the nausea and vomiting. It is essential to balance pain management with measures to minimize side effects like nausea.

A. Rebound tenderness in the right upper quadrant B. Murphy's sign C. Hypoactive bowel sounds D. Left lower quadrant abdominal pain

Correct Answer is B

Explanation

Choice A reason:

Rebound tenderness in the right upper quadrant is not a hallmark sign of acute cholecystitis. It may be present in conditions such as appendicitis or peritonitis.

Choice B reason:

This statement is correct. Murphy's sign is a hallmark sign of acute cholecystitis. It is elicited by asking the client to take a deep breath while the nurse palpates the right upper quadrant. If the client abruptly stops breathing due to pain upon palpation, it indicates inflammation of the gallbladder (positive Murphy's sign).

Choice C reason:

Hypoactive bowel sounds may be present in some gastrointestinal conditions but are not specific to acute cholecystitis.

Choice D reason:

Left lower quadrant abdominal pain is not associated with acute cholecystitis. This type of pain is more commonly seen in conditions such as diverticulitis or colitis.

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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

Correct Answer is A

Explanation

A nurse is assessing a client with suspected acute cholecystitis. Which of the following physical examination findings is a hallmark sign of this condition?

Correct Answer is B

Explanation

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

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?

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

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

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?