A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?
Administer pain medication as prescribed.
Notify the surgeon immediately.
Apply a cold pack to the incision site.
Instruct the client to perform deep breathing exercises.
The Correct Answer is A
Choice A reason:
This statement is correct. The nurse's priority is to manage the client's pain effectively by administering prescribed pain medication.
Choice B reason:
Notifying the surgeon may be necessary if there are signs of complications, but managing the client's pain is the immediate priority.
Choice C reason:
Applying a cold pack may help with pain and swelling in some cases, but the nurse's priority is to administer pain medication first.
Choice D reason:
Instructing the client to perform deep breathing exercises is important for postoperative recovery, but it does not address the immediate need for pain management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. The nurse's priority is to manage the client's pain effectively by administering prescribed pain medication.
Choice B reason:
Notifying the surgeon may be necessary if there are signs of complications, but managing the client's pain is the immediate priority.
Choice C reason:
Applying a cold pack may help with pain and swelling in some cases, but the nurse's priority is to administer pain medication first.
Choice D reason:
Instructing the client to perform deep breathing exercises is important for postoperative recovery, but it does not address the immediate need for pain management.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Engaging in regular physical activity to promote weight loss and maintain a healthy weight can help prevent the formation of gallstones, as obesity is a significant risk factor for cholelithiasis.
Choice B reason:
Consuming a high-fat diet is not recommended for preventing gallstones. A high-fat diet is associated with an increased risk of gallstone formation.
Choice C reason:
Avoiding fruits and vegetables to reduce fiber intake is not a healthy approach to preventing gallstones. Adequate fiber intake is beneficial for overall health and may help prevent gallstone formation.
Choice D reason:
Drinking sugary beverages is not recommended for preventing gallstones. It is essential to maintain hydration, but sugary beverages can contribute to obesity and other health problems, increasing the risk of cholelithiasis.
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