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. Rapid weight loss, especially when accompanied by a high-fat diet, can increase the risk of gallstone formation. Rapid weight loss can lead to an imbalance in bile composition, increasing the likelihood of gallstone development.

Choice B reason:

This statement is incorrect. Rapid weight loss can impact gallstone formation, and it is essential for the client to be aware of this potential risk.

Choice C reason:

Rapid weight loss does not reduce the risk of gallstone formation. In fact, it may increase the risk due to changes in bile composition and gallbladder motility.

Choice D reason:

This statement is incorrect. Rapid weight loss, especially with a low-fat diet, can contribute to gallstone formation due to changes in bile composition and gallbladder function.

A. Elevated serum bilirubin levels. B. Increased blood glucose levels. C. Elevated white blood cell count. D. Low serum amylase levels.

Correct Answer is C

Explanation

Choice A reason:

While elevated serum bilirubin levels can be associated with cholelithiasis, they are more indicative of obstruction of the bile ducts, which can occur in cholecystitis, a complication of cholelithiasis.

Choice B reason:

Increased blood glucose levels are not directly related to cholelithiasis or its complications.

Choice C reason:

This statement is correct. An elevated white blood cell count is often seen in cholecystitis, which is inflammation of the gallbladder that can occur as a complication of cholelithiasis.

Choice D reason:

Low serum amylase levels are not specific to cholelithiasis or its complications.

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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 has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

Correct Answer is C

Explanation

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 asks the nurse about the role of hormones in the development of cholelithiasis. What is the nurse's best response?

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?

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

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

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