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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:

Continuing to eat a high-fat diet is not a preventive measure for gallstones. A low-fat diet is recommended after cholecystectomy.

Choice B reason:

Consuming small, frequent meals can help prevent gallbladder distension, but it is not the primary preventive measure for gallstones.

Choice C reason:

Avoiding physical activity is not a recommended preventive measure for gallstone formation. Regular exercise supports overall gallbladder function.

Choice D reason:

This statement is correct. Engaging in regular exercise is an important preventive measure for gallstone formation and overall gallbladder health.

A. "The test involves inserting a scope through your mouth to visualize the gallbladder." B. "The procedure uses X-rays to assess your gallbladder after you swallow a contrast dye." C. "A small sample of your gallbladder tissue will be removed for examination." D. "The test involves a radioactive tracer injection to evaluate your gallbladder function."

Correct Answer is B

Explanation

Choice A reason:

Describing an endoscopy procedure, which is not involved in an oral cholecystogram, is not accurate.

Choice B reason:

This statement is correct. An oral cholecystogram (OCG) is a radiologic imaging test that involves swallowing a contrast dye, which outlines the gallbladder and bile ducts, allowing X-rays to visualize the presence of gallstones.

Choice C reason:

Removing a sample of the gallbladder tissue for examination would be a biopsy, not an oral cholecystogram.

Choice D reason:

A radioactive tracer injection is used in hepatobiliary iminodiacetic acid (HIDA) scan, not an oral cholecystogram.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

Correct Answer is D

Explanation

A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

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

A nurse is conducting a health education session for a group of individuals at risk of developing cholelithiasis. Which lifestyle modification should the nurse recommend to help prevent the formation of gallstones?

A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

A client asks the nurse about the role of hormones in the development of cholelithiasis. What is the nurse's best response?

A nurse is caring for a client with cholelithiasis experiencing biliary colic. Which medication should the nurse anticipate administering to provide pain relief?

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?