A client is diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. The client asks the nurse about the benefits of laparoscopic surgery compared to open surgery. Which of the following responses should the nurse provide?

Choice A reason:

Itching is not typically associated with an allergic reaction and is more likely related to cholecystitis itself or complications such as cholangitis or bile duct obstruction.

Choice B reason:

This statement is correct. Cholecystitis can cause bile salts to accumulate in the skin, leading to pruritus (itching). When the bile flow is obstructed or altered, bile salts may not be properly eliminated from the body, leading to their accumulation in the skin and causing itching.

Choice C reason:

Dehydration may occur in some cases of cholecystitis due to nausea, vomiting, or reduced fluid intake, but it is not the primary cause of pruritus.

Choice D reason:

Cholecystitis does not typically cause elevated blood sugar levels. However, certain conditions like diabetes mellitus may increase the risk of cholecystitis.

Choice A reason:

This statement is incorrect. The HIDA scan does not use magnetic resonance imaging (MRI) to visualize the gallbladder. It is a nuclear medicine test that uses a radioactive tracer.

Choice B reason:

This statement is incorrect. While the HIDA scan involves the use of a radioactive tracer, its purpose is not to evaluate liver function. Instead, it assesses the biliary system and gallbladder.

Choice C reason:

This statement is correct. The HIDA scan is a nuclear medicine test used to assess the patency of the biliary system and the emptying of the gallbladder. A radioactive tracer is injected into the client's bloodstream, and its uptake and excretion into the biliary system are monitored.

Choice D reason:

This statement is incorrect. The HIDA scan does not involve the use of an endoscope. It is a non-invasive imaging test that is performed externally, not internally.