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 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.

A. Encourage deep breathing and coughing exercises. B. Place the client in a supine position with legs elevated. C. Allow the client to have a regular diet until the surgery. D. Administer anticoagulants to prevent postoperative complications.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

Correct Answer is A

Explanation

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A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

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