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?

Administer pain medication as prescribed.

Assess the client's vital signs and pain level.

Place the client in a semi-Fowler's position.

Offer the client a cup of herbal tea for relaxation.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Administering pain medication is important, but assessing the client's vital signs and pain level takes priority to determine the severity of the pain and the appropriate intervention.

Choice B reason:

This statement is correct. Assessing the client's vital signs and pain level is the first action the nurse should take to evaluate the client's condition and determine the appropriate intervention.

Choice C reason:

Placing the client in a semi-Fowler's position may provide some comfort, but it does not address the underlying pain or assist in determining the severity of the situation.

Choice D reason:

Offering herbal tea for relaxation is a non-pharmacological intervention that can be helpful, but it is not the first action the nurse should take when the client is experiencing severe abdominal pain.

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Correct Answer is C

Explanation

Choice A reason:

Resuming physical activities immediately after surgery may put the client at risk of complications and delayed healing. It is essential to allow sufficient time for recovery before engaging in physical activities.

Choice B reason:

Waiting only 24 hours may not provide enough time for the client to recover from the surgery and avoid potential complications.

Choice C reason:

This statement is correct. The client can start light physical activities within a few days after the surgery, as long as they are tolerated well. Gradually increasing physical activities over time is important to prevent strain and ensure a safe recovery.

Choice D reason:

Avoiding physical activities for four weeks is unnecessary and may lead to physical deconditioning. Gradual reengagement in physical activities is encouraged to support the healing process.

A. Severe lower back pain B. Epigastric pain radiating to the left shoulder C. Right upper quadrant abdominal pain radiating to the right shoulder D. Left lower quadrant abdominal pain with rebound tenderness.

Correct Answer is C

Explanation

Choice A reason:

Severe lower back pain is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen that may radiate to the right shoulder.

Choice B reason:

Epigastric pain radiating to the left shoulder is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen that may radiate to the right shoulder.

Choice C reason:

This statement is correct. Right upper quadrant abdominal pain that radiates to the right shoulder is a classic manifestation of cholecystitis. The pain is often described as sharp or colicky and may worsen after eating fatty or greasy foods.

Choice D reason:

Left lower quadrant abdominal pain with rebound tenderness is not a classic manifestation of cholecystitis. Cholecystitis typically presents with pain in the right upper quadrant of the abdomen.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

Correct Answer is C

Explanation

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