A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

Administer a pain medication to relieve the client's discomfort.

Notify the healthcare provider about the client's symptoms and findings.

Apply an ice pack to the insertion site to reduce inflammation.

Change the dressing and clean the insertion site with an antiseptic solution.

Answer and Explanation

The Correct Answer is B

Choice A reason:

While pain relief is important, it is essential to address the redness and swelling first, as they may indicate an infection or other complication related to the cholecystostomy.

Choice B reason:

This statement is correct. The nurse should notify the healthcare provider immediately about the client's symptoms and findings to ensure prompt evaluation and appropriate interventions.

Choice C reason:

Applying an ice pack may provide some relief for pain and inflammation, but it does not address the potential underlying cause of redness and swelling.

Choice D reason:

Changing the dressing and cleaning the insertion site is important for maintaining cleanliness, but the nurse should first notify the healthcare provider about the client's symptoms for further evaluation.

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Correct Answer is C

Explanation

Choice A reason:

Deep breathing exercises do not directly prevent postoperative infection. However, they can help with postoperative lung expansion and prevent respiratory complications, indirectly reducing the risk of infection.

Choice B reason:

While deep breathing exercises can help improve respiratory function, they are not specifically targeted at strengthening abdominal muscles.

Choice C reason:

This statement is correct. Deep breathing exercises promote lung expansion and prevent atelectasis (partial lung collapse) after surgery. They help maintain adequate oxygenation and prevent respiratory complications.

Choice D reason:

Deep breathing exercises are not directly related to reducing the risk of gallstone formation. Gallstone formation is primarily influenced by factors such as diet, bile composition, and gallbladder function.

A. "The itching is unrelated to your cholecystitis and may be due to an allergic reaction." B. "Cholecystitis can cause bile salts to accumulate in your skin, leading to itching." C. "The itching is a result of dehydration, which is common in cholecystitis." D. "Cholecystitis can cause elevated blood sugar levels, which may lead to itching."

Correct Answer is B

Explanation

Choice A reason:

Itching is not typically associated with an allergic reaction and is more likely related to cholecystitis itself or complications such as cholangitis or bile duct obstruction.

Choice B reason:

This statement is correct. Cholecystitis can cause bile salts to accumulate in the skin, leading to pruritus (itching). When the bile flow is obstructed or altered, bile salts may not be properly eliminated from the body, leading to their accumulation in the skin and causing itching.

Choice C reason:

Dehydration may occur in some cases of cholecystitis due to nausea, vomiting, or reduced fluid intake, but it is not the primary cause of pruritus.

Choice D reason:

Cholecystitis does not typically cause elevated blood sugar levels. However, certain conditions like diabetes mellitus may increase the risk of cholecystitis.

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A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

Correct Answer is C

Explanation

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

Correct Answer is B

Explanation

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?

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?

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?

A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?