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

Choice A reason:

This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.

Choice C reason:

This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.

Choice D reason:

Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.

A. Administer a pain medication to relieve the client's discomfort. B. Notify the healthcare provider about the client's symptoms and findings. C. Apply an ice pack to the insertion site to reduce inflammation. D. Change the dressing and clean the insertion site with an antiseptic solution.

Correct Answer is B

Explanation

Choice A reason:

While pain relief is important, it is essential to address the redness and swelling first, as they may indicate an infection or other complication related to the cholecystostomy.

Choice B reason:

This statement is correct. The nurse should notify the healthcare provider immediately about the client's symptoms and findings to ensure prompt evaluation and appropriate interventions.

Choice C reason:

Applying an ice pack may provide some relief for pain and inflammation, but it does not address the potential underlying cause of redness and swelling.

Choice D reason:

Changing the dressing and cleaning the insertion site is important for maintaining cleanliness, but the nurse should first notify the healthcare provider about the client's symptoms for further evaluation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

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

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

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?

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 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 providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?