A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

Administering an antipyretic medication to reduce the fever.

Notifying the healthcare provider about the client's symptoms.

Encouraging the client to increase oral fluid intake.

Placing a heating pad on the client's abdomen to ease discomfort.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Administering an antipyretic medication may help reduce the fever, but it does not address the underlying issue of the suspected infection. Notifying the healthcare provider about the client's symptoms is the priority action.

Choice B reason:

This statement is correct. The nurse should notify the healthcare provider immediately about the client's severe pain, fever, and chills to initiate appropriate assessment and treatment for a possible infection.

Choice C reason:

Encouraging the client to increase oral fluid intake is important for overall hydration, but it may not be the priority action when an infection is suspected.

Choice D reason:

Placing a heating pad on the client's abdomen may provide temporary relief for discomfort but is not appropriate when the client has a fever and suspected infection.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Rapid weight loss, especially when accompanied by a high-fat diet, can increase the risk of gallstone formation. Rapid weight loss can lead to an imbalance in bile composition, increasing the likelihood of gallstone development.

Choice B reason:

This statement is incorrect. Rapid weight loss can impact gallstone formation, and it is essential for the client to be aware of this potential risk.

Choice C reason:

Rapid weight loss does not reduce the risk of gallstone formation. In fact, it may increase the risk due to changes in bile composition and gallbladder motility.

Choice D reason:

This statement is incorrect. Rapid weight loss, especially with a low-fat diet, can contribute to gallstone formation due to changes in bile composition and gallbladder function.

A. "The ultrasound will help assess the blood flow to your liver." B. "The test will provide detailed images of your gallbladder and check for gallstones." C. "The ultrasound will measure the acidity levels in your stomach." D. "The test is done to evaluate your kidney function."

Correct Answer is B

Explanation

Choice A reason:

Assessing blood flow to the liver is not the primary purpose of an abdominal ultrasound in a client with suspected cholelithiasis.

Choice B reason:

This statement is correct. An abdominal ultrasound is a non-invasive imaging test that provides detailed images of the gallbladder and surrounding structures, helping to visualize the presence of gallstones and assess the gallbladder's condition.

Choice C reason:

Measuring acidity levels in the stomach is not related to the diagnostic evaluation of cholelithiasis.

Choice D reason:

Evaluating kidney function is not the primary purpose of an abdominal ultrasound for a client with suspected cholelithiasis.

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A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

Correct Answer is A

Explanation

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

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