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?

Referred pain.

Colicky pain.

Biliary colic.

Hyperalgesia.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

A. "Avoid all fruits and vegetables to reduce the risk of gallstone formation." B. "Limit your intake of fatty and fried foods to help prevent gallstones." C. "Consume large quantities of processed foods to promote proper bile production." D. "Increase your alcohol intake to aid in the digestion of fats."

Correct Answer is B

Explanation

Choice A reason:

Avoiding all fruits and vegetables is not a recommended preventive strategy for gallstones. Fruits and vegetables are generally beneficial for overall health.

Choice B reason:

This statement is correct. Limiting the intake of fatty and fried foods is an important preventive measure to reduce the risk of gallstone formation.

Choice C reason:

Consuming large quantities of processed foods is not recommended for gallstone prevention. Processed foods are often high in unhealthy fats and additives.

Choice D reason:

Increasing alcohol intake is not a preventive measure for gallstones and may actually contribute to gallstone formation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Correct Answer is A

Explanation

A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

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 has been diagnosed with cholelithiasis and is experiencing severe pain due to gallstone obstruction. The client asks the nurse about pain relief measures. What is the most appropriate response by the nurse?

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

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

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?

A nurse is caring for a client with cholelithiasis. The client reports feeling bloated and experiences excessive gas after meals. Which term should the nurse use to describe this symptom?