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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?

"You can take over-the-counter pain medications like ibuprofen for relief."

"I will inform the doctor to order strong opioids for pain management."

"Try applying a heating pad to your abdomen to ease the pain."

"I will assist you in changing positions and performing deep breathing exercises."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is C

Explanation

Choice A reason:

While hormones can influence gallbladder function, they do not directly cause gallbladder inflammation leading to gallstone formation.

Choice B reason:

Hormones may affect bile production, but it is not the primary mechanism leading to gallstone formation.

Choice C reason:

This statement is correct. Hormones, especially estrogen, can influence cholesterol metabolism in the gallbladder, leading to an increased risk of cholesterol gallstone formation.

Choice D reason:

Hormones do not weaken the gallbladder wall, and this is not a direct mechanism for gallstone accumulation.

A. "Rapid weight loss can lead to gallstone formation, especially if you consume a high-fat diet." B. "Rapid weight loss does not have any impact on gallstone formation or your gallbladder health." C. "Rapid weight loss can reduce the risk of gallstone formation due to decreased bile production." D. "Rapid weight loss may increase the risk of gallstone formation, especially if you follow a low-fat diet."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Rapid weight loss, especially when accompanied by a high-fat diet, can increase the risk of gallstone formation. Rapid weight loss can lead to an imbalance in bile composition, increasing the likelihood of gallstone development.

Choice B reason:

This statement is incorrect. Rapid weight loss can impact gallstone formation, and it is essential for the client to be aware of this potential risk.

Choice C reason:

Rapid weight loss does not reduce the risk of gallstone formation. In fact, it may increase the risk due to changes in bile composition and gallbladder motility.

Choice D reason:

This statement is incorrect. Rapid weight loss, especially with a low-fat diet, can contribute to gallstone formation due to changes in bile composition and gallbladder function.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the role of hormones in the development of cholelithiasis. What is the nurse's best response?

Correct Answer is C

Explanation

A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

Correct Answer is A

Explanation

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 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 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?

A client is recovering from laparoscopic cholecystectomy and is concerned about potential complications. What should the nurse include in the discharge teaching to address the client's concerns?

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

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

A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

A client with a history of cholelithiasis is interested in natural remedies to prevent the recurrence of gallstones. Which herbal supplement should the nurse caution the client against using?