A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

Choice A reason:

Appendicitis typically presents with pain in the lower right abdomen and may be associated with fever and rebound tenderness.

Choice B reason:

Gastroenteritis can cause abdominal pain and vomiting, but it does not usually cause pain radiating to the right shoulder.

Choice C reason:

This statement is correct. Cholecystitis is characterized by severe right upper quadrant abdominal pain that may radiate to the right shoulder, along with nausea and vomiting.

Choice D reason:

Pancreatitis may cause upper abdominal pain, but it typically radiates to the back rather than the right shoulder.

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.