A client with cholelithiasis is scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?

"There is no need to worry; cholecystectomy is a routine and low-risk procedure."

"It's natural to feel anxious, but the surgeon is experienced and will take good care of you."

"You should discuss your concerns with your family; they can provide support during this time."

"Let me explain the procedure in detail and answer any questions you have to ease your anxiety."

Answer and Explanation

The Correct Answer is D

Choice A reason:

While cholecystectomy is a common procedure, dismissing the client's concerns by downplaying the risk may not alleviate anxiety.

Choice B reason:

While expressing empathy is important, it does not address the client's concerns directly or provide detailed information about the procedure.

Choice C reason:

Involving family for support is beneficial, but it does not address the client's need for information and understanding about the surgery.

Choice D reason:

This statement is correct. The nurse should provide the client with detailed information about the cholecystectomy procedure, its benefits, potential risks, and complications. This information can help the client make informed decisions and alleviate anxiety.

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Correct Answer is C

Explanation

Choice A reason:

Indigestion and discomfort are potential issues, but the primary reason for a low-fat diet after cholecystectomy is related to gallstone prevention and liver function.

Choice B reason:

There is no direct link between fatty foods and medication absorption in the context of post-cholecystectomy care.

Choice C reason:

This statement is correct. Following a low-fat diet after cholecystectomy helps prevent the formation of new gallstones and reduces stress on the liver, as the gallbladder's role in storing and releasing bile for

fat digestion is compromised.

Choice D reason:

While fatty foods can lead to digestive problems for some individuals, the primary concern in a client post-cholecystectomy is gallstone prevention and liver support.

A. Referred pain. B. Colicky pain. C. Biliary colic. D. Hyperalgesia.

Correct Answer is C

Explanation

Choice A reason:

Referred pain is when pain is perceived in an area away from the actual source of the pain and does not specifically describe pain after eating a large meal.

Choice B reason:

Colicky pain is characterized by intermittent, severe pain that comes and goes and is not specific to the client's complaint.

Choice C reason:

This statement is correct. Biliary colic refers to the severe, cramping pain that occurs when the gallbladder contracts against a gallstone lodged in the cystic duct or common bile duct, and it is often triggered or worsened by eating a large or fatty meal.

Choice D reason:

Hyperalgesia refers to an increased sensitivity to pain and is not related to the client's symptom.

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A client with cholelithiasis is scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

Correct Answer is C

Explanation

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?

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

A nurse is assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?

A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

A client with cholelithiasis is scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?

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 with a history of cholelithiasis is interested in natural remedies to prevent the recurrence of gallstones. Which herbal supplement should the nurse caution the client against using?