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 B

Explanation

Choice A reason:

Avoiding all dairy products is not necessary for gallstone prevention, and it may lead to nutritional deficiencies.

Choice B reason:

This statement is correct. Including a variety of fruits and vegetables in the diet can promote gallbladder health and reduce the risk of gallstone formation.

Choice C reason:

Consuming large quantities of red meat is not a recommended preventive measure for gallstones. High red meat intake may actually increase the risk of gallstone formation.

Choice D reason:

Limiting fluid intake can lead to dehydration and increase the risk of gallstone formation. Adequate hydration is essential for gallbladder health.

A. "Increase your intake of fatty foods to stimulate bile production." B. "Avoid all carbohydrates to reduce the risk of gallstone formation." C. "Focus on consuming a low-fat diet to prevent gallstones." D. "Consume large portions of dairy products to maintain gallbladder health."

Correct Answer is C

Explanation

Choice A reason:

Increasing the intake of fatty foods is not a recommended preventive measure for gallstones, especially in an overweight client.

Choice B reason:

Avoiding all carbohydrates is not necessary for gallstone prevention and may not be a healthy approach to weight management.

Choice C reason:

This statement is correct. Focusing on consuming a low-fat diet is an essential preventive measure for reducing the risk of gallstone formation, especially in overweight individuals.

Choice D reason:

Consuming large portions of dairy products is not a specific preventive measure for gallstones. A balanced diet with limited fat intake is recommended.

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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 nurse is providing patient education to a client with a history of cholelithiasis. The client asks about dietary modifications to prevent gallstones. What is the nurse's best response?

Correct Answer is B

Explanation

A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

Correct Answer is C

Explanation

A nurse is caring for a client who had cholecystectomy for cholelithiasis. The client asks when they can resume their normal diet. What is the appropriate response by the nurse?

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

A client with cholelithiasis is prescribed ursodeoxycholic acid. Which statement by the client indicates understanding of the medication's purpose?

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?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?

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

A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?