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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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason:

Over-the-counter pain medications may not be sufficient to alleviate severe pain associated with gallstone obstruction.

Choice B reason:

This statement is correct. Severe pain caused by gallstone obstruction requires stronger pain management, and opioids may be prescribed to manage the pain effectively.

Choice C reason:

Applying a heating pad may not provide adequate pain relief for gallstone obstruction and could worsen the condition.

Choice D reason:

Position changes and deep breathing exercises may be helpful in some situations, but they are unlikely to provide sufficient relief for severe pain due to gallstone obstruction.

A. "The ultrasound will help assess the blood flow to your liver." B. "The test will provide detailed images of your gallbladder and check for gallstones." C. "The ultrasound will measure the acidity levels in your stomach." D. "The test is done to evaluate your kidney function."

Correct Answer is B

Explanation

Choice A reason:

Assessing blood flow to the liver is not the primary purpose of an abdominal ultrasound in a client with suspected cholelithiasis.

Choice B reason:

This statement is correct. An abdominal ultrasound is a non-invasive imaging test that provides detailed images of the gallbladder and surrounding structures, helping to visualize the presence of gallstones and assess the gallbladder's condition.

Choice C reason:

Measuring acidity levels in the stomach is not related to the diagnostic evaluation of cholelithiasis.

Choice D reason:

Evaluating kidney function is not the primary purpose of an abdominal ultrasound for a client with suspected cholelithiasis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been diagnosed with cholelithiasis and is experiencing severe pain due to gallstone obstruction. The client asks the nurse about pain relief measures. What is the most appropriate response by the nurse?

Correct Answer is B

Explanation

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

Correct Answer is B

Explanation

A client has a family history of cholelithiasis and wants to know how to reduce their risk of developing gallstones. What is the nurse's best response?

A nurse is caring for a client with cholelithiasis experiencing biliary colic. Which medication should the nurse anticipate administering to provide pain relief?

A nurse is caring for a client who had cholecystectomy for cholelithiasis. The client asks when they can resume their normal diet. What is the appropriate response by the nurse?

A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

A nurse is providing patient education to a client with a history of cholelithiasis. The client asks about dietary modifications to prevent gallstones. What is the nurse's best response?

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

A nurse is providing education to a client who is at risk of developing cholelithiasis due to being overweight. What dietary advice should the nurse provide to the client?

A nurse is providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?