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.
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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Related Questions
Correct Answer is C
Explanation
Choice A reason:
Resuming a normal diet immediately after surgery, especially if it is high in fat, can stress the digestive system and is not recommended after cholecystectomy.
Choice B reason:
Avoiding fatty foods for the first week after surgery is a general guideline, but clients should not limit their diet to this extent for an extended period.
Choice C reason:
This statement is correct. After cholecystectomy, clients can slowly reintroduce regular foods into their diet as tolerated. Gradually adding in more complex foods can help the body adjust to digestion without the gallbladder.
Choice D reason:
Continuing on a clear liquid diet for a few more days is not appropriate for a client who has already undergone cholecystectomy and has advanced past the initial post-operative phase.
Correct Answer is C
Explanation
Choice A reason:
Anorexia refers to a loss of appetite and is not specific to the client's complaint.
Choice B reason:
Dysphagia refers to difficulty swallowing and is not related to the client's symptoms.
Choice C reason:
This statement is correct. Dyspepsia is the medical term for indigestion or discomfort in the upper abdomen, often associated with nausea and vomiting after eating fatty or heavy meals, which is consistent with the client's complaint.
Choice D reason:
Steatorrhea refers to the presence of excess fat in the feces and is not related to the client's symptoms.
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