A client is recovering from a cholecystectomy and reports feeling nauseous and experiencing episodes of vomiting. The nurse reviews the client's medication history and notes that opioid analgesics were administered for postoperative pain. Which of the following interventions should the nurse implement to address this issue?

Administer an antiemetic medication as prescribed to alleviate nausea and vomiting.

Encourage the client to eat a high-fat diet to stimulate gallbladder function and reduce symptoms.

Explain to the client that nausea and vomiting are common after surgery and will resolve on their own.

Request an order for additional opioids to manage pain, as they may have contributed to the nausea.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

A. Mild, intermittent right upper quadrant (RUQ) pain is more characteristic of chronic cholecystitis rather than acute cholecystitis, which typically presents with severe pain.
B. Left lower quadrant (LLQ) pain with rebound tenderness is more indicative of conditions like diverticulitis, not acute cholecystitis.
C. Severe, colicky abdominal pain radiating to the right shoulder is the most common presentation of acute cholecystitis, often caused by gallbladder inflammation and obstruction of the cystic duct. The pain is due to irritation of the phrenic nerve, which supplies both the gallbladder and right shoulder.
D. Epigastric pain worsened by fatty meals is often seen in gallbladder disease but is more characteristic of biliary colic rather than acute cholecystitis.

A. Gastroenteritis B. Cholecystitis with cholangitis C. Urinary tract infection D. Gastroesophageal reflux disease (GERD)

Correct Answer is B

Explanation

Choice A reason:

Gastroenteritis typically presents with symptoms such as diarrhea, vomiting, and abdominal cramps. It does not cause jaundice or severe right upper quadrant pain.

Choice B reason:

This statement is correct. Cholecystitis with cholangitis is characterized by severe right upper quadrant abdominal pain, fever, and jaundice. Cholangitis is an inflammation of the bile ducts, often caused by gallstone migration and obstruction.

Choice C reason:

A urinary tract infection may cause symptoms such as burning urination and frequent urination but does not present with right upper quadrant abdominal pain or jaundice.

Choice D reason:

GERD is a condition characterized by acid reflux and heartburn. It does not cause severe right upper quadrant abdominal pain or jaundice.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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 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?

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

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of 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?