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 B

Explanation

Choice A reason:

Resuming a regular diet immediately after a cholecystectomy may be too heavy for the digestive system, which is still recovering from the surgery.

Choice B reason:

This statement is correct. Following a low-fat diet for several weeks after a cholecystectomy can reduce the strain on the digestive system and allow the body to adjust to the absence of the gallbladder.

Choice C reason:

While protein is essential for wound healing, a high-protein diet is not specifically recommended for a client recovering from a cholecystectomy.

Choice D reason:

Avoiding all solid foods for 24 hours after the surgery is unnecessary and may lead to nutritional deficits. The client can gradually resume a low-fat, solid diet after the surgery.

A. "You should avoid foods high in fiber to reduce gallstone formation." B. "Limit your fluid intake to prevent exacerbation of chronic cholecystitis." C. "You should avoid fatty and greasy foods to minimize symptoms." D. "Increase your intake of carbonated beverages to improve digestion."

Correct Answer is C

Explanation

Choice A reason:

Avoiding foods high in fiber is not recommended to reduce gallstone formation. In fact, a diet high in fiber can promote regular bowel movements and may be beneficial in preventing gallstone formation.

Choice B reason:

Limiting fluid intake is not recommended to manage chronic cholecystitis. Staying adequately hydrated is essential for overall health and can help prevent gallstone formation.

Choice C reason:

This statement is correct. Avoiding fatty and greasy foods is recommended to manage chronic cholecystitis. These foods can trigger gallbladder contractions and exacerbate symptoms in individuals with gallstones or chronic inflammation.

Choice D reason:

Increasing the intake of carbonated beverages is not recommended to improve digestion or manage chronic cholecystitis. Carbonated beverages can potentially worsen symptoms in some individuals with gallbladder conditions.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

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?

Correct Answer is C

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 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 diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. 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 client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?

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