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 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.

A. Chronic alcohol consumption B. Excessive consumption of dairy products C. Blockage of the cystic duct by a gallstone D. Allergic reactions to certain foods

Correct Answer is C

Explanation

Choice A reason:

Chronic alcohol consumption is not a common cause of gallbladder inflammation or cholecystitis. However, excessive alcohol consumption can contribute to liver disease, which may increase the risk of gallstone formation.

Choice B reason:

Excessive consumption of dairy products is not a common cause of gallbladder inflammation. The primary factors leading to cholecystitis are gallstones, inflammation of the gallbladder wall, or infection.

Choice C reason:

This statement is correct. Blockage of the cystic duct by a gallstone is a common cause of gallbladder inflammation. When a gallstone obstructs the cystic duct, bile cannot flow freely, leading to increased pressure and inflammation of the gallbladder wall, resulting in cholecystitis.

Choice D reason:

Allergic reactions to certain foods are not a common cause of gallbladder inflammation or cholecystitis. Cholecystitis is primarily related to gallstones, bile flow abnormalities, or infections.

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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 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 nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

Correct Answer is C

Explanation

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 nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

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?

A nurse is assessing a client with suspected acute cholecystitis. Which of the following physical examination findings is a hallmark sign of this condition?

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 client is recovering from a cholecystectomy and asks the nurse about dietary recommendations post-surgery. Which of the following responses should the nurse provide?