A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

Jaundice.

Erythema.

Pallor.

Petechiae.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Jaundice refers to the yellowish discoloration of the skin and eyes caused by an accumulation of bilirubin, which can occur in cholelithiasis due to obstruction of the bile ducts by gallstones.

Choice B reason:

Erythema refers to redness of the skin and is not related to the client's complaint.

Choice C reason:

Pallor refers to paleness of the skin and is not related to the client's symptom.

Choice D reason:

Petechiae refers to small, pinpoint-sized red or purple spots on the skin caused by bleeding and is not related to the client's symptom.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

A. Signs and symptoms of gallstone formation B. Proper incision care to prevent infection C. Dietary recommendations to prevent constipation D. Potential complications of general anesthesia

Correct Answer is B

Explanation

Choice A reason:

Gallstone formation is not a concern after cholecystectomy since the gallbladder has been removed.

Choice B reason:

This statement is correct. Proper incision care is essential to prevent infection and complications at the surgical site after laparoscopic cholecystectomy.

Choice C reason:

Dietary recommendations for constipation are not directly related to laparoscopic cholecystectomy and may not address the client's concerns about complications.

Choice D reason:

While discussing potential complications of general anesthesia is essential for preoperative education, it may not be the primary concern for a client recovering from cholecystectomy.

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A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Correct Answer is A

Explanation

A client is recovering from laparoscopic cholecystectomy and is concerned about potential complications. What should the nurse include in the discharge teaching to address the client's concerns?

Correct Answer is B

Explanation

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A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

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