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?

"Deep breathing exercises can help prevent postoperative infection."

"Deep breathing exercises can strengthen your abdominal muscles."

"Deep breathing exercises can promote lung expansion and prevent respiratory complications."

"Deep breathing exercises can help reduce the risk of gallstone formation."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

Explanation

Choice A reason:

Fasting for 12 hours is not required before an abdominal ultrasound. However, the client may be asked to avoid eating fatty or heavy meals before the procedure.

Choice B reason:

Filling the bladder with a gallon of water is unnecessary and not related to an abdominal ultrasound. A full bladder is required for pelvic ultrasounds, not abdominal ultrasounds.

Choice C reason:

Avoiding drinking liquids for 2 hours before the ultrasound is not necessary. In fact, a full bladder is preferred for better visualization during an abdominal ultrasound.

Choice D reason:

This statement is correct. To have a full bladder for the ultrasound, the client should drink 16 ounces of water about one hour before the procedure. A full bladder helps lift the intestines and improves the visualization of the gallbladder and surrounding structures.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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 client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

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

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

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?

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?

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?