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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Appendicitis typically presents with pain in the lower right abdomen and may be associated with fever and rebound tenderness.
Choice B reason:
Gastroenteritis can cause abdominal pain and vomiting, but it does not usually cause pain radiating to the right shoulder.
Choice C reason:
This statement is correct. Cholecystitis is characterized by severe right upper quadrant abdominal pain that may radiate to the right shoulder, along with nausea and vomiting.
Choice D reason:
Pancreatitis may cause upper abdominal pain, but it typically radiates to the back rather than the right shoulder.
Correct Answer is C
Explanation
Choice A reason:
Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.
Choice B reason:
While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.
Choice C reason:
This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.
Choice D reason:
Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.
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