A female patient presents with right upper quadrant pain, nausea and vomiting. She has been diagnosed with acute cholecystitis. What is the most appropriate nursing action to alleviate her symptoms?

Encouraging the patient to drink ginger tea for nausea

Applying ice packs to the abdomen

Administering prescribed intravenous analgesics

Advising the patient to eat small, frequent meals

Answer and Explanation

The Correct Answer is C

A. Encouraging the patient to drink ginger tea for nausea: While ginger tea may help with nausea in some cases, it is not an appropriate intervention for acute cholecystitis, which requires more aggressive management.

B. Applying ice packs to the abdomen: Ice packs are not a standard treatment for acute cholecystitis and would not effectively alleviate the patient’s pain or inflammation.

C. Administering prescribed intravenous analgesics: The most appropriate intervention is to administer prescribed intravenous analgesics to relieve pain in patients with acute cholecystitis. Pain management is a priority to alleviate discomfort while awaiting further treatment, such as surgery or antibiotics.

D. Advising the patient to eat small, frequent meals: Dietary changes like eating small, frequent meals may be advised after the acute phase to prevent future attacks, but they are not appropriate for addressing acute symptoms.

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Correct Answer is A

Explanation

A. Instruct the patient to change positions slowly to prevent dizziness and falls. Ascites can cause a shift in fluid balance, leading to orthostatic hypotension. Changing positions slowly reduces the risk of dizziness and falls, which are common in patients with fluid shifts.

B. Advise the patient to avoid all physical activity to prevent exacerbation of symptoms: Complete avoidance of physical activity is not recommended. Mild activity may help with overall health and mobility unless contraindicated. Bedrest is typically only recommended for acute or severe cases.

C. Encourage the patient to drink plenty of fluids to prevent dehydration: Patients with ascites are often on fluid restrictions to manage excess fluid accumulation. Encouraging excess fluid intake can worsen the condition.

D. Recommend wearing tight clothing to support the abdominal area: Tight clothing could cause discomfort and increase abdominal pressure, which could exacerbate symptoms or complications related to ascites.

A. "Eating contaminated food or water from an infected source can cause you to become infected with hepatitis C B. "Coming into contact with infected blood, such as from that of a dirty needle, can cause you to become infected with hepatitis C. C. "Coming into contact with an infected person's bodily fluids, such as saliva, can cause you to become infected with hepatitis C. D. "Consuming a large amount of alcohol at one time can cause you to become infected with hepatitis C.”

Correct Answer is B

Explanation

A. "Eating contaminated food or water from an infected source can cause you to become infected with hepatitis C." This applies to hepatitis A, not hepatitis C. Hepatitis A is transmitted through the fecal-oral route, whereas hepatitis C is bloodborne.

B. "Coming into contact with infected blood, such as from that of a dirty needle, can cause you to become infected with hepatitis C." Hepatitis C is primarily spread through blood-to-blood contact, most commonly through sharing needles, blood transfusions before widespread blood screening, or needle-stick injuries.

C. "Coming into contact with an infected person's bodily fluids, such as saliva, can cause you to become infected with hepatitis C." Hepatitis C is not commonly spread through casual contact or saliva. The risk of transmission through bodily fluids other than blood is extremely low.

D. "Consuming a large amount of alcohol at one time can cause you to become infected with hepatitis C." Alcohol does not cause hepatitis C, though it can worsen liver damage in individuals already infected with the virus.

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A female patient presents with right upper quadrant pain, nausea and vomiting. She has been diagnosed with acute cholecystitis. What is the most appropriate nursing action to alleviate her symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with ascites has been admitted to your unit. Which of the following safety precautions should you reinforce to prevent complications?

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a client who has been newly diagnosed with hepatitis C. The client asks how they could have contracted the virus. Which of the following nurse responses best explains how the client may have become infected with hepatitis C?

Correct Answer is B

Explanation

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