A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

Administer a pain medication to relieve the client's discomfort.

Notify the healthcare provider about the client's symptoms and findings.

Apply an ice pack to the insertion site to reduce inflammation.

Change the dressing and clean the insertion site with an antiseptic solution.

Answer and Explanation

The Correct Answer is B

Choice A reason:

While pain relief is important, it is essential to address the redness and swelling first, as they may indicate an infection or other complication related to the cholecystostomy.

Choice B reason:

This statement is correct. The nurse should notify the healthcare provider immediately about the client's symptoms and findings to ensure prompt evaluation and appropriate interventions.

Choice C reason:

Applying an ice pack may provide some relief for pain and inflammation, but it does not address the potential underlying cause of redness and swelling.

Choice D reason:

Changing the dressing and cleaning the insertion site is important for maintaining cleanliness, but the nurse should first notify the healthcare provider about the client's symptoms for further evaluation.

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Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. Hyperactive bowel sounds are not typically associated with cholecystitis and may be seen in conditions such as gastroenteritis or irritable bowel syndrome.

Choice B reason:

This statement is incorrect. Severe left upper quadrant pain is not characteristic of cholecystitis. Cholecystitis typically presents with right upper quadrant pain.

Choice C reason:

This statement is correct. Right upper quadrant tenderness is a hallmark symptom of cholecystitis. The inflamed gallbladder causes pain and tenderness in this area.

Choice D reason:

This statement is incorrect. Pain radiating to the left shoulder is more indicative of conditions such as splenic disorders, not cholecystitis.

A. "These changes are unrelated to your condition and may be due to a gastrointestinal infection." B. "Cholecystitis can lead to malabsorption of nutrients, resulting in changes in stool color." C. "Cholecystitis can obstruct the bile duct, leading to decreased bilirubin excretion and changes in urine and stool color." D. "These changes are related to dehydration, which is common in cholecystitis."

Correct Answer is C

Explanation

Choice A reason:

Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.

Choice B reason:

While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.

Choice C reason:

This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.

Choice D reason:

Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.

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A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

Correct Answer is C

Explanation

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

Correct Answer is C

Explanation

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

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