A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?
"I will avoid lifting heavy objects for the next few weeks."
"I should report any signs of infection or wound complications."
"I can resume my regular diet immediately after the surgery."
"I will take my prescribed pain medication as needed for discomfort."
The Correct Answer is C
Choice A reason:
Avoiding heavy lifting is important after a cholecystectomy to prevent strain on the surgical site and reduce the risk of complications.
Choice B reason:
Reporting signs of infection or wound complications is essential for early detection and appropriate management.
Choice C reason:
This statement indicates a need for further teaching. After a cholecystectomy, the client should follow a low-fat diet for several weeks before gradually reintroducing regular foods.
Choice D reason:
Taking prescribed pain medication as needed is essential for managing postoperative discomfort and promoting recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.
Choice C reason:
This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.
Choice D reason:
Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.
Correct Answer is C
Explanation
Choice A reason:
Appendicitis typically presents with pain in the lower right abdomen and may be associated with fever and rebound tenderness.
Choice B reason:
Gastroenteritis can cause abdominal pain and vomiting, but it does not usually cause pain radiating to the right shoulder.
Choice C reason:
This statement is correct. Cholecystitis is characterized by severe right upper quadrant abdominal pain that may radiate to the right shoulder, along with nausea and vomiting.
Choice D reason:
Pancreatitis may cause upper abdominal pain, but it typically radiates to the back rather than the right shoulder.
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