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 A

Explanation

Choice A reason:

This statement is correct. A family history of gallbladder disease is a significant risk factor for cholelithiasis, and the 25-year-old male is at the highest risk among the options provided.

Choice B reason:

A low-fat diet and regular exercise may help reduce the risk of developing cholelithiasis, so the 40-year-old female is at a lower risk compared to the other options.

Choice C reason:

A history of diabetes and hypertension may increase the risk of certain health problems, but they are not the primary risk factors for cholelithiasis in this context.

Choice D reason:

Undergoing bariatric surgery for weight loss may affect the risk of developing gallstones, but it is not the highest risk factor among the options provided.

A. "I should avoid fatty foods in my diet to prevent future gallstones." B. "I will continue taking my prescribed antibiotics until they are finished." C. "I can resume my regular exercise routine in a week after the surgery." D. "I will report any signs of infection or bleeding at the incision site."

Correct Answer is C

Explanation

Choice A reason:

This statement is correct. Avoiding fatty foods in the diet can help prevent the formation of future gallstones, as it reduces the likelihood of bile becoming too concentrated and forming stones.

Choice B reason:

This statement is correct. Taking prescribed antibiotics until they are finished is essential to prevent infection and complications after surgery.

Choice C reason:

This statement indicates a need for further teaching. Clients who have undergone cholecystectomy should avoid strenuous physical activities, including regular exercise, for several weeks after the surgery to promote proper healing and prevent complications.

Choice D reason:

This statement is correct. Reporting any signs of infection or bleeding at the incision site is crucial for the early detection and management of potential complications after surgery.

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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 nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

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?

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

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 assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?

A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?

A nurse is providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?