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?

Offer antacid medication to relieve indigestion.

Place the client in a supine position to promote comfort.

Administer prescribed pain medication for pain relief.

Encourage the client to rest and avoid any physical activity.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Offering antacid medication may provide relief for indigestion, but it will not address the severe pain and other symptoms associated with cholelithiasis.

Choice B reason:

Placing the client in a supine position may not be the most comfortable position for someone experiencing severe pain from cholelithiasis. The client may prefer to find a position that eases the pain.

Choice C reason:

This statement is correct. Administering prescribed pain medication should be the first action to address the client's severe pain and discomfort related to cholelithiasis.

Choice D reason:

Encouraging the client to rest is important, but it is not the priority action in managing the client's severe pain and other symptoms.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. A family history of gallbladder disease is a significant risk factor for cholelithiasis, and the 25-year-old male is at the highest risk among the options provided.

Choice B reason:

A low-fat diet and regular exercise may help reduce the risk of developing cholelithiasis, so the 40-year-old female is at a lower risk compared to the other options.

Choice C reason:

A history of diabetes and hypertension may increase the risk of certain health problems, but they are not the primary risk factors for cholelithiasis in this context.

Choice D reason:

Undergoing bariatric surgery for weight loss may affect the risk of developing gallstones, but it is not the highest risk factor among the options provided.

A. Instructing the client to eat a high-fat diet to prepare for the surgery. B. Demonstrating deep-breathing exercises to promote lung expansion postoperatively. C. Explaining the importance of ambulating immediately after surgery. D. Discussing the possibility of experiencing diarrhea after the surgery.

Correct Answer is B

Explanation

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

A client with cholelithiasis is prescribed ursodeoxycholic acid. Which statement by the client indicates understanding of the medication's purpose?

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 nurse is caring for a client who had cholecystectomy for cholelithiasis. The client asks when they can resume their normal diet. What is the appropriate response by the nurse?

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

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 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?

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 providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?