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

Instructing the client to eat a high-fat diet to prepare for the surgery.

Demonstrating deep-breathing exercises to promote lung expansion postoperatively.

Explaining the importance of ambulating immediately after surgery.

Discussing the possibility of experiencing diarrhea after the surgery.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Instructing the client to eat a high-fat diet before surgery is not appropriate and may exacerbate the symptoms of cholelithiasis. The client should follow a low-fat diet instead.

Choice B reason:

This statement is correct. Demonstrating deep-breathing exercises helps promote lung expansion postoperatively and prevents respiratory complications after anesthesia and surgery.

Choice C reason:

While ambulating is essential after surgery, it may not be the primary focus of preoperative education for a client undergoing cholecystectomy for cholelithiasis.

Choice D reason:

Discussing the possibility of experiencing diarrhea after the surgery is not a priority in preoperative education for a client with cholelithiasis undergoing cholecystectomy.

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Correct Answer is C

Explanation

Choice A reason:

While elevated serum bilirubin levels can be associated with cholelithiasis, they are more indicative of obstruction of the bile ducts, which can occur in cholecystitis, a complication of cholelithiasis.

Choice B reason:

Increased blood glucose levels are not directly related to cholelithiasis or its complications.

Choice C reason:

This statement is correct. An elevated white blood cell count is often seen in cholecystitis, which is inflammation of the gallbladder that can occur as a complication of cholelithiasis.

Choice D reason:

Low serum amylase levels are not specific to cholelithiasis or its complications.

A. Maintain NPO (nothing by mouth) status for 8 hours before the procedure. B. Administer a cleansing enema on the morning of the procedure. C. Withhold all medications for 24 hours before the procedure. D. Provide a high-fat meal before the procedure.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

Correct Answer is C

Explanation

A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Correct Answer is A

Explanation

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

A client with cholelithiasis is scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?

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 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 nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

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?

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?