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?

"These changes are unrelated to your condition and may be due to a gastrointestinal infection."

"Cholecystitis can lead to malabsorption of nutrients, resulting in changes in stool color."

"Cholecystitis can obstruct the bile duct, leading to decreased bilirubin excretion and changes in urine and stool color."

"These changes are related to dehydration, which is common in cholecystitis."

Answer and Explanation

The Correct Answer is C

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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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.

A. Encourage deep breathing and coughing exercises. B. Place the client in a supine position with legs elevated. C. Allow the client to have a regular diet until the surgery. D. Administer anticoagulants to prevent postoperative complications.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct and is an appropriate preoperative intervention. Encouraging deep breathing and coughing exercises helps prevent postoperative respiratory complications such as atelectasis and pneumonia.

Choice B reason:

This statement is incorrect and is not an appropriate preoperative intervention. Placing the client in a supine position with legs elevated can increase intraabdominal pressure and worsen cholecystitis symptoms.

Choice C reason:

This statement is incorrect and is not an appropriate preoperative intervention. The client should be on a restricted diet, avoiding fatty and heavy foods, to prevent exacerbation of cholecystitis symptoms and reduce the risk of complications during surgery.

Choice D reason:

This statement is incorrect and is not an appropriate preoperative intervention. Anticoagulants are not typically administered preoperatively for cholecystectomy. Their use may increase bleeding risk during surgery and is generally avoided unless medically indicated.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

Correct Answer is C

Explanation

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?

Correct Answer is A

Explanation

A client asks a nurse about the risk factors for developing cholecystitis. Which of the following factors should the nurse include in the response?

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?

A client with cholecystitis is scheduled for a laparoscopic cholecystectomy. The nurse is preparing the client for surgery and explains the importance of deep breathing exercises. Which of the following benefits of deep breathing should the nurse include in the explanation?

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

A nurse is teaching a client with chronic cholecystitis about dietary modifications to manage the condition. Which of the following instructions should the nurse include?

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?