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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Administering an antiemetic medication can help alleviate nausea and vomiting, which are common side effects of opioid analgesics used for postoperative pain management.

Choice B reason:

Eating a high-fat diet is not recommended after cholecystectomy, as the gallbladder has been removed. Consuming high-fat foods may exacerbate symptoms and lead to digestive discomfort.

Choice C reason:

While nausea and vomiting can be common after surgery, it is important to address these symptoms to ensure the client's comfort and prevent dehydration or other complications.

Choice D reason:

Requesting additional opioids to manage pain may worsen the nausea and vomiting. It is essential to balance pain management with measures to minimize side effects like nausea.

A. Serum amylase B. Blood urea nitrogen (BUN) C. Serum bilirubin D. C-reactive protein (CRP)

Correct Answer is C

Explanation

Choice A reason:

Serum amylase is typically elevated in pancreatitis, not cholecystitis.

Choice B reason:

Blood urea nitrogen (BUN) is a kidney function marker and is not directly related to cholecystitis.

Choice C reason:

This statement is correct. Serum bilirubin is commonly elevated in cholecystitis due to bile duct obstruction or impaired bile flow. Elevated bilirubin levels can cause jaundice (yellowing of the skin and eyes) in some cases.

Choice D reason:

C-reactive protein (CRP) is a marker of inflammation and can be elevated in various conditions, including cholecystitis. However, it is not specific to cholecystitis and may also be elevated in other inflammatory processes.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

Correct Answer is C

Explanation

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?

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?

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

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?

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