A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?
"I should avoid fatty foods in my diet to prevent aggravating my condition."
"I will take my prescribed antibiotics regularly to treat the infection."
"I will increase my alcohol intake to help reduce inflammation in my gallbladder."
"I will apply a warm compress to my abdomen to relieve the pain."
The Correct Answer is C
Choice A reason:
This statement is correct and does not indicate a need for further teaching. Avoiding fatty foods is essential in managing cholecystitis as it reduces the stimulation of the gallbladder and may prevent symptom exacerbation.
Choice B reason:
This statement is correct and does not indicate a need for further teaching. Taking prescribed antibiotics is important if the cholecystitis is caused by an infection, as it helps in treating the underlying cause.
Choice C reason:
This statement is incorrect and indicates a need for further teaching. Increasing alcohol intake can worsen inflammation and exacerbate cholecystitis symptoms. Clients with cholecystitis should avoid alcohol to support their recovery.
Choice D reason:
This statement is correct and does not indicate a need for further teaching. Applying a warm compress to the abdomen can help relieve pain associated with cholecystitis and promote comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason:
Rebound tenderness in the right upper quadrant is not a hallmark sign of acute cholecystitis. It may be present in conditions such as appendicitis or peritonitis.
Choice B reason:
This statement is correct. Murphy's sign is a hallmark sign of acute cholecystitis. It is elicited by asking the client to take a deep breath while the nurse palpates the right upper quadrant. If the client abruptly stops breathing due to pain upon palpation, it indicates inflammation of the gallbladder (positive Murphy's sign).
Choice C reason:
Hypoactive bowel sounds may be present in some gastrointestinal conditions but are not specific to acute cholecystitis.
Choice D reason:
Left lower quadrant abdominal pain is not associated with acute cholecystitis. This type of pain is more commonly seen in conditions such as diverticulitis or colitis.
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