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?

Offer antacid medication to relieve indigestion.

Place the client in a supine position to promote comfort.

Administer prescribed pain medication for pain relief.

Encourage the client to rest and avoid any physical activity.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Offering antacid medication may provide relief for indigestion, but it will not address the severe pain and other symptoms associated with cholelithiasis.

Choice B reason:

Placing the client in a supine position may not be the most comfortable position for someone experiencing severe pain from cholelithiasis. The client may prefer to find a position that eases the pain.

Choice C reason:

This statement is correct. Administering prescribed pain medication should be the first action to address the client's severe pain and discomfort related to cholelithiasis.

Choice D reason:

Encouraging the client to rest is important, but it is not the priority action in managing the client's severe pain and other symptoms.

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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.

A. Signs and symptoms of gallstone formation B. Proper incision care to prevent infection C. Dietary recommendations to prevent constipation D. Potential complications of general anesthesia

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 is recovering from laparoscopic cholecystectomy and is concerned about potential complications. What should the nurse include in the discharge teaching to address the client's concerns?

Correct Answer is B

Explanation

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

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

A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

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 with a history of cholelithiasis is interested in natural remedies to prevent the recurrence of gallstones. Which herbal supplement should the nurse caution the client against using?

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

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?