A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

"These changes are unrelated to your condition and may be due to a gastrointestinal infection."

"Cholecystitis can lead to malabsorption of nutrients, resulting in changes in stool color."

"Cholecystitis can obstruct the bile duct, leading to decreased bilirubin excretion and changes in urine and stool color."

"These changes are related to dehydration, which is common in cholecystitis."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.

Choice B reason:

While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.

Choice C reason:

This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.

Choice D reason:

Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.

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Correct Answer is B

Explanation

Choice A reason:

Engaging in strenuous physical activities may exacerbate the pain and discomfort in a client with chronic cholecystitis. Moderate physical activity is encouraged, but strenuous activities should be avoided.

Choice B reason:

This statement is correct. Applying a heating pad on the abdomen can help alleviate pain and discomfort associated with chronic cholecystitis. Heat therapy helps relax muscles and may ease the tension in the affected area.

Choice C reason:

Consuming a high-fat diet is not recommended for a client with chronic cholecystitis. A low-fat diet is recommended to reduce gallbladder stimulation and prevent symptoms.

Choice D reason:

While over-the-counter NSAIDs can be effective for mild pain relief, they should be used with caution in clients with cholecystitis, especially if there is any concern about gallstone-related inflammation. It is best to consult with a healthcare provider before using NSAIDs in this case.

A. "You can resume your regular diet immediately after the surgery." B. "You should follow a low-fat diet for several weeks to aid in healing." C. "A high-protein diet is recommended to promote wound healing." D. "You should avoid all solid foods for the first 24 hours after the surgery."

Correct Answer is B

Explanation

Choice A reason:

Resuming a regular diet immediately after a cholecystectomy may be too heavy for the digestive system, which is still recovering from the surgery.

Choice B reason:

This statement is correct. Following a low-fat diet for several weeks after a cholecystectomy can reduce the strain on the digestive system and allow the body to adjust to the absence of the gallbladder.

Choice C reason:

While protein is essential for wound healing, a high-protein diet is not specifically recommended for a client recovering from a cholecystectomy.

Choice D reason:

Avoiding all solid foods for 24 hours after the surgery is unnecessary and may lead to nutritional deficits. The client can gradually resume a low-fat, solid diet after the surgery.

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A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with chronic cholecystitis who is experiencing intermittent pain and discomfort. Which of the following measures should the nurse recommend to manage pain and improve symptoms in this client?

Correct Answer is B

Explanation

A client is recovering from a cholecystectomy and asks the nurse about dietary recommendations post-surgery. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

A nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

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

A client with acute cholecystitis is scheduled for surgery. Which of the following interventions should the nurse implement preoperatively?

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?