A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

Referred pain.

Colicky pain.

Biliary colic.

Hyperalgesia.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Referred pain is when pain is perceived in an area away from the actual source of the pain and does not specifically describe pain after eating a large meal.

Choice B reason:

Colicky pain is characterized by intermittent, severe pain that comes and goes and is not specific to the client's complaint.

Choice C reason:

This statement is correct. Biliary colic refers to the severe, cramping pain that occurs when the gallbladder contracts against a gallstone lodged in the cystic duct or common bile duct, and it is often triggered or worsened by eating a large or fatty meal.

Choice D reason:

Hyperalgesia refers to an increased sensitivity to pain and is not related to the client's symptom.

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Correct Answer is C

Explanation

Choice A reason:

Indigestion and discomfort are potential issues, but the primary reason for a low-fat diet after cholecystectomy is related to gallstone prevention and liver function.

Choice B reason:

There is no direct link between fatty foods and medication absorption in the context of post-cholecystectomy care.

Choice C reason:

This statement is correct. Following a low-fat diet after cholecystectomy helps prevent the formation of new gallstones and reduces stress on the liver, as the gallbladder's role in storing and releasing bile for

fat digestion is compromised.

Choice D reason:

While fatty foods can lead to digestive problems for some individuals, the primary concern in a client post-cholecystectomy is gallstone prevention and liver support.

A. "You can take over-the-counter pain medications like ibuprofen for relief." B. "I will inform the doctor to order strong opioids for pain management." C. "Try applying a heating pad to your abdomen to ease the pain." D. "I will assist you in changing positions and performing deep breathing exercises."

Correct Answer is B

Explanation

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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A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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 nurse is conducting a health education session for a group of individuals at risk of developing cholelithiasis. Which lifestyle modification should the nurse recommend to help prevent the formation of gallstones?

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

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 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?

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

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?