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:

This statement is incorrect. The HIDA scan does not use magnetic resonance imaging (MRI) to visualize the gallbladder. It is a nuclear medicine test that uses a radioactive tracer.

Choice B reason:

This statement is incorrect. While the HIDA scan involves the use of a radioactive tracer, its purpose is not to evaluate liver function. Instead, it assesses the biliary system and gallbladder.

Choice C reason:

This statement is correct. The HIDA scan is a nuclear medicine test used to assess the patency of the biliary system and the emptying of the gallbladder. A radioactive tracer is injected into the client's bloodstream, and its uptake and excretion into the biliary system are monitored.

Choice D reason:

This statement is incorrect. The HIDA scan does not involve the use of an endoscope. It is a non-invasive imaging test that is performed externally, not internally.

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 is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

Correct Answer is C

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 client with acute cholecystitis is scheduled for surgery. Which of the following interventions should the nurse implement preoperatively?

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

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?

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

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