A nurse is caring for a client with chronic cholecystitis who is experiencing intermittent pain and discomfort. Which of the following measures should the nurse recommend to manage pain and improve symptoms in this client?
Encourage the client to engage in strenuous physical activities to distract from the pain.
Suggest using a heating pad on the abdomen to alleviate pain and discomfort.
Advise the client to consume a high-fat diet to maintain gallbladder function.
Recommend the use of over-the-counter NSAIDs for pain relief.
The Correct Answer is B
Choice A reason:
Engaging in strenuous physical activities may exacerbate the pain and discomfort in a client with chronic cholecystitis. Moderate physical activity is encouraged, but strenuous activities should be avoided.
Choice B reason:
This statement is correct. Applying a heating pad on the abdomen can help alleviate pain and discomfort associated with chronic cholecystitis. Heat therapy helps relax muscles and may ease the tension in the affected area.
Choice C reason:
Consuming a high-fat diet is not recommended for a client with chronic cholecystitis. A low-fat diet is recommended to reduce gallbladder stimulation and prevent symptoms.
Choice D reason:
While over-the-counter NSAIDs can be effective for mild pain relief, they should be used with caution in clients with cholecystitis, especially if there is any concern about gallstone-related inflammation. It is best to consult with a healthcare provider before using NSAIDs in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Avoiding foods high in fiber is not recommended to reduce gallstone formation. In fact, a diet high in fiber can promote regular bowel movements and may be beneficial in preventing gallstone formation.
Choice B reason:
Limiting fluid intake is not recommended to manage chronic cholecystitis. Staying adequately hydrated is essential for overall health and can help prevent gallstone formation.
Choice C reason:
This statement is correct. Avoiding fatty and greasy foods is recommended to manage chronic cholecystitis. These foods can trigger gallbladder contractions and exacerbate symptoms in individuals with gallstones or chronic inflammation.
Choice D reason:
Increasing the intake of carbonated beverages is not recommended to improve digestion or manage chronic cholecystitis. Carbonated beverages can potentially worsen symptoms in some individuals with gallbladder conditions.
Correct Answer is C
Explanation
Choice A reason:
Resuming physical activities immediately after surgery may put the client at risk of complications and delayed healing. It is essential to allow sufficient time for recovery before engaging in physical activities.
Choice B reason:
Waiting only 24 hours may not provide enough time for the client to recover from the surgery and avoid potential complications.
Choice C reason:
This statement is correct. The client can start light physical activities within a few days after the surgery, as long as they are tolerated well. Gradually increasing physical activities over time is important to prevent strain and ensure a safe recovery.
Choice D reason:
Avoiding physical activities for four weeks is unnecessary and may lead to physical deconditioning. Gradual reengagement in physical activities is encouraged to support the healing process.
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