A client with acute cholecystitis is scheduled for surgery. Which of the following interventions should the nurse implement preoperatively?

Encourage the client to eat a high-fat meal the night before the surgery.

Administer antibiotics prophylactically before the surgery.

Advise the client to avoid deep breathing exercises.

Instruct the client to remain NPO (nothing by mouth) after midnight before the surgery.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Encouraging the client to eat a high-fat meal the night before the surgery is not recommended. Instead, clients scheduled for surgery, especially abdominal surgery, are typically instructed to have a clear liquid diet or nothing by mouth (NPO) after midnight to prevent aspiration during anesthesia.

Choice B reason:

Administering antibiotics prophylactically before surgery is often done to prevent infection during the procedure. However, it is at the discretion of the healthcare provider based on the client's specific condition and surgical plan.

Choice C reason:

Avoiding deep breathing exercises is not recommended preoperatively. Deep breathing exercises help prevent respiratory complications after surgery and promote lung function.

Choice D reason:

This statement is correct. Instructing the client to remain NPO after midnight before the surgery is essential to prevent aspiration during anesthesia. Clients should not eat or drink anything after the specified time to ensure their stomach is empty during the surgery.

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Correct Answer is C

Explanation

Choice A reason:

Resuming physical activities immediately after surgery may put the client at risk of complications and delayed healing. It is essential to allow sufficient time for recovery before engaging in physical activities.

Choice B reason:

Waiting only 24 hours may not provide enough time for the client to recover from the surgery and avoid potential complications.

Choice C reason:

This statement is correct. The client can start light physical activities within a few days after the surgery, as long as they are tolerated well. Gradually increasing physical activities over time is important to prevent strain and ensure a safe recovery.

Choice D reason:

Avoiding physical activities for four weeks is unnecessary and may lead to physical deconditioning. Gradual reengagement in physical activities is encouraged to support the healing process.

A. Age below 30 years B. Regular physical exercise C. Family history of gallstones D. Low-fat diet consumption

Correct Answer is C

Explanation

Choice A reason:

Age below 30 years is not a risk factor for developing cholecystitis. Cholecystitis is more commonly seen in individuals over the age of 40, especially in those with additional risk factors such as obesity or a high-fat diet.

Choice B reason:

Regular physical exercise is not considered a risk factor for cholecystitis. In fact, staying physically active is generally beneficial for overall health and may help reduce the risk of gallstone formation.

Choice C reason:

This statement is correct. Family history of gallstones is a significant risk factor for developing cholecystitis. Genetics can play a role in the composition of bile and the propensity to form gallstones.

Choice D reason:

Consuming a low-fat diet is not a risk factor for cholecystitis. On the contrary, a high-fat diet is associated with an increased risk of gallstone formation and subsequent cholecystitis.

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A client with acute cholecystitis is scheduled for surgery. Which of the following interventions should the nurse implement preoperatively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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