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

"I will eat a low-fat diet to prevent gallstone formation in the future."

"I should avoid heavy lifting for at least four weeks after the surgery."

"I will continue to take my prescribed antibiotics until they are finished."

"I can resume my regular exercise routine immediately after the surgery."

Answer and Explanation

The Correct Answer is D

Choice A reason:

This statement is correct and does not indicate a need for further teaching. Eating a low-fat diet after cholecystectomy is recommended to prevent symptoms and complications related to the digestion of fatty foods.

Choice B reason:

This statement is correct and does not indicate a need for further teaching. Avoiding heavy lifting for at least four weeks after cholecystectomy is important to allow the surgical site to heal properly and prevent strain on the incision site.

Choice C reason:

This statement is correct and does not indicate a need for further teaching. It is essential to continue taking prescribed antibiotics until they are finished to prevent infection and promote proper healing after surgery.

Choice D reason:

This statement is incorrect and indicates a need for further teaching. The client should not resume their regular exercise routine immediately after the surgery. After cholecystectomy, clients should avoid strenuous physical activities for a period specified by the healthcare provider to promote proper healing and prevent complications. The nurse should educate the client on gradually increasing their activity level and resuming exercise after receiving clearance from their healthcare provider.

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Correct Answer is C

Explanation

Choice A reason:

Age below 30 years is not a risk factor for developing cholecystitis. Cholecystitis is more commonly seen in individuals over the age of 40, especially in those with additional risk factors such as obesity or a high-fat diet.

Choice B reason:

Regular physical exercise is not considered a risk factor for cholecystitis. In fact, staying physically active is generally beneficial for overall health and may help reduce the risk of gallstone formation.

Choice C reason:

This statement is correct. Family history of gallstones is a significant risk factor for developing cholecystitis. Genetics can play a role in the composition of bile and the propensity to form gallstones.

Choice D reason:

Consuming a low-fat diet is not a risk factor for cholecystitis. On the contrary, a high-fat diet is associated with an increased risk of gallstone formation and subsequent cholecystitis.

A. "Diabetes increases the bile production, reducing the risk of gallstone formation." B. "Diabetes leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation." C. "Diabetes impairs the function of the sphincter of Oddi, increasing the risk of gallstone formation." D. "Diabetes increases the motility of the gallbladder, reducing the risk of gallstone formation."

Correct Answer is C

Explanation

Choice A reason:

Diabetes does not increase bile production. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Diabetes is associated with increased cholesterol levels in the bile, which can contribute to gallstone formation.

Choice C reason:

This statement is correct. Diabetes can impair the function of the sphincter of Oddi, a muscular valve that controls the flow of bile into the duodenum. Dysfunction of the sphincter can lead to bile stasis and increase the risk of gallstone formation.

Choice D reason:

Diabetes does not increase the motility of the gallbladder. Instead, it may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?

Correct Answer is C

Explanation

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

Correct Answer is C

Explanation

A client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

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

A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

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?

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

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?