A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?
"You can resume your normal activities immediately after surgery."
"You should avoid any physical activity for at least a week."
"You can gradually increase your activity level as tolerated, but avoid heavy lifting for a few weeks."
"You should avoid any physical activity for at least six weeks."
The Correct Answer is C
Choice A reason:
Resuming normal activities immediately after surgery is not recommended, as the client needs time to recover and heal.
Choice B reason:
Avoiding physical activity for a whole week is not necessary in most cases, as clients are usually encouraged to ambulate and engage in light activity to prevent complications.
Choice C reason:
This statement is correct. After an open cholecystectomy, clients are generally encouraged to gradually increase their activity level as tolerated. However, they should avoid heavy lifting and strenuous activity for a few weeks to allow the surgical incision to heal.
Choice D reason:
Avoiding physical activity for six weeks is not typically required after a cholecystectomy. Gradual activity resumption is recommended earlier than that.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
PTC is not used to remove gallstones from the common bile duct. It is primarily a diagnostic procedure.
Choice B reason:
Gallbladder function and contraction are not the primary focus of a percutaneous transhepatic cholangiography (PTC).
Choice C reason:
Obtaining a biopsy of the gallbladder is not the primary purpose of a PTC. It is mainly used for imaging and diagnostic purposes.
Choice D reason:
This statement is correct. PTC is a diagnostic imaging procedure that involves injecting contrast dye into the biliary tree to visualize the bile ducts and identify any obstructions, such as gallstones, which could be causing cholelithiasis.
Correct Answer is C
Explanation
Choice A reason:
Referred pain is when pain is perceived in an area away from the actual source of the pain and does not specifically describe pain after eating a large meal.
Choice B reason:
Colicky pain is characterized by intermittent, severe pain that comes and goes and is not specific to the client's complaint.
Choice C reason:
This statement is correct. Biliary colic refers to the severe, cramping pain that occurs when the gallbladder contracts against a gallstone lodged in the cystic duct or common bile duct, and it is often triggered or worsened by eating a large or fatty meal.
Choice D reason:
Hyperalgesia refers to an increased sensitivity to pain and is not related to the client's symptom.
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