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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 C

Explanation

Choice A reason:

Increasing the intake of fatty foods is not a recommended preventive measure for gallstones, especially in an overweight client.

Choice B reason:

Avoiding all carbohydrates is not necessary for gallstone prevention and may not be a healthy approach to weight management.

Choice C reason:

This statement is correct. Focusing on consuming a low-fat diet is an essential preventive measure for reducing the risk of gallstone formation, especially in overweight individuals.

Choice D reason:

Consuming large portions of dairy products is not a specific preventive measure for gallstones. A balanced diet with limited fat intake is recommended.

A. To remove gallstones from the common bile duct. B. To assess gallbladder function and contraction. C. To obtain a biopsy of the gallbladder. D. To visualize the biliary tree and locate obstruction.

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.

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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 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?

Correct Answer is C

Explanation

A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

Correct Answer is D

Explanation

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?

A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

A nurse is assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?

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 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?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?