A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?
Administering an antipyretic medication to reduce the fever.
Notifying the healthcare provider about the client's symptoms.
Encouraging the client to increase oral fluid intake.
Placing a heating pad on the client's abdomen to ease discomfort.
The Correct Answer is B
Choice A reason:
Administering an antipyretic medication may help reduce the fever, but it does not address the underlying issue of the suspected infection. Notifying the healthcare provider about the client's symptoms is the priority action.
Choice B reason:
This statement is correct. The nurse should notify the healthcare provider immediately about the client's severe pain, fever, and chills to initiate appropriate assessment and treatment for a possible infection.
Choice C reason:
Encouraging the client to increase oral fluid intake is important for overall hydration, but it may not be the priority action when an infection is suspected.
Choice D reason:
Placing a heating pad on the client's abdomen may provide temporary relief for discomfort but is not appropriate when the client has a fever and suspected infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Avoiding all fruits and vegetables is not a recommended preventive strategy for gallstones. Fruits and vegetables are generally beneficial for overall health.
Choice B reason:
This statement is correct. Limiting the intake of fatty and fried foods is an important preventive measure to reduce the risk of gallstone formation.
Choice C reason:
Consuming large quantities of processed foods is not recommended for gallstone prevention. Processed foods are often high in unhealthy fats and additives.
Choice D reason:
Increasing alcohol intake is not a preventive measure for gallstones and may actually contribute to gallstone formation.
Correct Answer is B
Explanation
Choice A reason:
Lithotripsy is not a surgical procedure to remove the gallbladder. It is a non-invasive method to break up gallstones.
Choice B reason:
This statement is correct. Lithotripsy involves using sound waves to break up gallstones into smaller fragments that can pass through the bile ducts.
Choice C reason:
Lithotripsy is not a medication. It is a procedure used to treat gallstones.
Choice D reason:
Lithotripsy is not a diagnostic test. It is a therapeutic procedure to treat gallstones.
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