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:

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

Choice B reason:

This statement is incorrect. Diabetes is associated with increased cholesterol levels in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Diabetes can impair the function of the sphincter of Oddi, a muscular valve that controls the flow of bile into the duodenum. Dysfunction of the sphincter can lead to bile stasis and increase the risk of gallstone formation.

Choice D reason:

Diabetes does not increase the motility of the gallbladder. Instead, it may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

A. "The HIDA scan will provide detailed images of your gallbladder using magnetic resonance imaging." B. "During the HIDA scan, a radioactive tracer will be injected to evaluate the function of your liver." C. "The HIDA scan will assess the patency of your biliary system and the emptying of your gallbladder." D. "This scan uses an endoscope to visualize your pancreas and detect any abnormalities."

Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. The HIDA scan does not use magnetic resonance imaging (MRI) to visualize the gallbladder. It is a nuclear medicine test that uses a radioactive tracer.

Choice B reason:

This statement is incorrect. While the HIDA scan involves the use of a radioactive tracer, its purpose is not to evaluate liver function. Instead, it assesses the biliary system and gallbladder.

Choice C reason:

This statement is correct. The HIDA scan is a nuclear medicine test used to assess the patency of the biliary system and the emptying of the gallbladder. A radioactive tracer is injected into the client's bloodstream, and its uptake and excretion into the biliary system are monitored.

Choice D reason:

This statement is incorrect. The HIDA scan does not involve the use of an endoscope. It is a non-invasive imaging test that is performed externally, not internally.

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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 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?

Correct Answer is C

Explanation

A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

Correct Answer is C

Explanation

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

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

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