A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

Administer pain medication as prescribed.

Notify the surgeon immediately.

Apply a cold pack to the incision site.

Instruct the client to perform deep breathing exercises.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. The nurse's priority is to manage the client's pain effectively by administering prescribed pain medication.

Choice B reason:

Notifying the surgeon may be necessary if there are signs of complications, but managing the client's pain is the immediate priority.

Choice C reason:

Applying a cold pack may help with pain and swelling in some cases, but the nurse's priority is to administer pain medication first.

Choice D reason:

Instructing the client to perform deep breathing exercises is important for postoperative recovery, but it does not address the immediate need for pain management.

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Correct Answer is C

Explanation

Choice A reason:

Resuming a normal diet immediately after surgery, especially if it is high in fat, can stress the digestive system and is not recommended after cholecystectomy.

Choice B reason:

Avoiding fatty foods for the first week after surgery is a general guideline, but clients should not limit their diet to this extent for an extended period.

Choice C reason:

This statement is correct. After cholecystectomy, clients can slowly reintroduce regular foods into their diet as tolerated. Gradually adding in more complex foods can help the body adjust to digestion without the gallbladder.

Choice D reason:

Continuing on a clear liquid diet for a few more days is not appropriate for a client who has already undergone cholecystectomy and has advanced past the initial post-operative phase.

A. Referred pain. B. Colicky pain. C. Sharp pain. D. Steady pain.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. The pain in the right upper abdomen that radiates to the right shoulder is characteristic of referred pain, which occurs when pain is perceived in an area away from the actual source of the pain.

Choice B reason:

Colicky pain is intermittent, severe pain that comes and goes and is not specific to the description given by the client.

Choice C reason:

Sharp pain may be used to describe certain types of pain, but it does not capture the radiation to the right shoulder as seen in referred pain.

Choice D reason:

Steady pain may not adequately describe the intermittent nature of the pain experienced by the client.

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A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

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?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who underwent cholecystectomy for cholelithiasis. Which statement by the client indicates a need for further teaching?

A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

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?

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 nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

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?

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?

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