A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

"Don't worry, cholecystectomy is a routine procedure with minimal risks."

"You should avoid thinking about the surgery until the day of the procedure."

"Tell me more about your fears and concerns regarding the surgery."

"I had the same surgery before, and everything went perfectly fine."

Answer and Explanation

The Correct Answer is C

Choice A reason:

While cholecystectomy is a common procedure, minimizing the client's fear and anxiety by downplaying the risks is not appropriate. It is essential to acknowledge the client's concerns and address them appropriately.

Choice B reason:

Avoiding thinking about the surgery may not be helpful for the client. It is essential to encourage open communication and support the client in expressing their fears and concerns.

Choice C reason:

This statement is correct. Encouraging the client to express their fears and concerns allows the nurse to address them appropriately and provide the necessary support and information to reduce anxiety.

Choice D reason:

While sharing personal experiences can sometimes be helpful, it is essential to focus on the client's feelings and needs rather than diverting attention to the nurse's experience.

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Correct Answer is C

Explanation

Choice A reason:

Severe lower back pain is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen that may radiate to the right shoulder.

Choice B reason:

Epigastric pain radiating to the left shoulder is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen that may radiate to the right shoulder.

Choice C reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a classic manifestation of cholecystitis. The pain is often described as sharp or colicky and may worsen after eating fatty or greasy foods.

Choice D reason:

Left lower quadrant abdominal pain with rebound tenderness is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen.

A. Encourage the client to eat a high-fat meal the night before the surgery. B. Administer antibiotics prophylactically before the surgery. C. Advise the client to avoid deep breathing exercises. D. Instruct the client to remain NPO (nothing by mouth) after midnight before the surgery.

Correct Answer is D

Explanation

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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A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

Correct Answer is C

Explanation

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

Correct Answer is D

Explanation

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

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?

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 nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

A nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?