A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

Choice A reason:

Engaging in strenuous physical activities may exacerbate the pain and discomfort in a client with chronic cholecystitis. Moderate physical activity is encouraged, but strenuous activities should be avoided.

Choice B reason:

This statement is correct. Applying a heating pad on the abdomen can help alleviate pain and discomfort associated with chronic cholecystitis. Heat therapy helps relax muscles and may ease the tension in the affected area.

Choice C reason:

Consuming a high-fat diet is not recommended for a client with chronic cholecystitis. A low-fat diet is recommended to reduce gallbladder stimulation and prevent symptoms.

Choice D reason:

While over-the-counter NSAIDs can be effective for mild pain relief, they should be used with caution in clients with cholecystitis, especially if there is any concern about gallstone-related inflammation. It is best to consult with a healthcare provider before using NSAIDs in this case.

Choice A reason:

Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.

Choice B reason:

While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.

Choice C reason:

This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.

Choice D reason:

Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.