Which instruction, given to the client by the nurse, is ESSENTIAL in the prevention of the development of colic related to cholecystitis?

Increase your fluid intake.

Stop any use of narcotics.

Remain in the supine position as much as possible.

Decrease the intake of fat in your diet.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Increasing fluid intake does not directly influence the prevention of biliary colic related to cholecystitis. While staying hydrated is important, it is not the primary preventive measure for colic.

Choice B rationale

Stopping the use of narcotics can help reduce pain and other symptoms, but it is not essential for the prevention of biliary colic. Pain management should be tailored to the individual's needs.

Choice C rationale

Remaining in the supine position is not a recommended practice to prevent the development of biliary colic. Mobility and certain positioning (such as sitting or semi-Fowler’s) may be more beneficial.

Choice D rationale

Decreasing the intake of fat in the diet is essential in the prevention of biliary colic related to cholecystitis. Fatty foods can trigger gallbladder contractions, which may cause pain and exacerbate symptoms.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Measuring abdominal girth every shift helps monitor for increased abdominal distension, which can indicate worsening bowel obstruction or potential complications such as bowel perforation or ischemia. Regular monitoring is crucial to detect changes early.

Choice B rationale

A soft diet is inappropriate for someone with a suspected bowel obstruction, as solid foods can exacerbate the blockage. The standard recommendation is usually to keep the patient NPO (nothing by mouth) to prevent further obstruction.

Choice C rationale

Administering 0.9% NSS at 125 mL/hr helps maintain adequate hydration and electrolyte balance, which is vital in a patient with a bowel obstruction who cannot take oral fluids. This intervention prevents dehydration and electrolyte imbalances.

Choice D rationale

Morphine for pain management is appropriate as it helps alleviate severe abdominal pain associated with bowel obstruction. However, its use should be monitored carefully, as opioids can reduce gastrointestinal motility and potentially worsen the obstruction.

A. Urine specific gravity 1.035. B. Pain colicky in nature. C. Serum sodium 132 mEq/L. D. Frank blood in the N/G suction container.

Correct Answer is D

Explanation

Choice A rationale

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

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Which instruction, given to the client by the nurse, is ESSENTIAL in the prevention of the development of colic related to cholecystitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D"]

Explanation

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Correct Answer is D

Explanation

The nurse is performing an assessment on a client who has been diagnosed with severe peritonitis. Which finding would the nurse expect?

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