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:

Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.

Choice D reason:

Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

A. "Deep breathing exercises can help prevent postoperative infection." B. "Deep breathing exercises can strengthen your abdominal muscles." C. "Deep breathing exercises can promote lung expansion and prevent respiratory complications." D. "Deep breathing exercises can help reduce the risk of gallstone formation."

Correct Answer is C

Explanation

Choice A reason:

Deep breathing exercises do not directly prevent postoperative infection. However, they can help with postoperative lung expansion and prevent respiratory complications, indirectly reducing the risk of infection.

Choice B reason:

While deep breathing exercises can help improve respiratory function, they are not specifically targeted at strengthening abdominal muscles.

Choice C reason:

This statement is correct. Deep breathing exercises promote lung expansion and prevent atelectasis (partial lung collapse) after surgery. They help maintain adequate oxygenation and prevent respiratory complications.

Choice D reason:

Deep breathing exercises are not directly related to reducing the risk of gallstone formation. Gallstone formation is primarily influenced by factors such as diet, bile composition, and gallbladder function.

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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 client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

Correct Answer is C

Explanation

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

Correct Answer is C

Explanation

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