A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?

"I will avoid lifting heavy objects for the next few weeks."

"I should report any signs of infection or wound complications."

"I can resume my regular diet immediately after the surgery."

"I will take my prescribed pain medication as needed for discomfort."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Avoiding heavy lifting is important after a cholecystectomy to prevent strain on the surgical site and reduce the risk of complications.

Choice B reason:

Reporting signs of infection or wound complications is essential for early detection and appropriate management.

Choice C reason:

This statement indicates a need for further teaching. After a cholecystectomy, the client should follow a low-fat diet for several weeks before gradually reintroducing regular foods.

Choice D reason:

Taking prescribed pain medication as needed is essential for managing postoperative discomfort and promoting recovery.

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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.

A. "Chronic cholecystitis can lead to gallbladder cancer if left untreated." B. "Complications of chronic cholecystitis may include pancreatitis or cholangitis." C. "Chronic cholecystitis can cause acute inflammation of the pancreas." D. "Complications of chronic cholecystitis may include lung infections."

Correct Answer is B

Explanation

Choice A reason:

While chronic cholecystitis can lead to complications, such as gallbladder inflammation and gallstones, it is not a typical cause of gallbladder cancer.

Choice B reason:

This statement is correct. Complications of chronic cholecystitis may include pancreatitis, which is inflammation of the pancreas, and cholangitis, which is inflammation of the bile ducts. These complications can occur if gallstones migrate from the gallbladder and obstruct the pancreatic or bile ducts.

Choice C reason:

This statement is incorrect. Chronic cholecystitis is inflammation of the gallbladder, not the pancreas. However, complications of chronic cholecystitis, such as gallstone migration, can cause acute inflammation of the pancreas (pancreatitis).

Choice D reason:

Complications of chronic cholecystitis do not typically include lung infections. The primary complications are related to the gallbladder, pancreas, and bile ducts.

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A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

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?

A nurse is assessing a client with suspected acute cholecystitis. Which of the following physical examination findings is a hallmark sign of this condition?

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

A nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

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

A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?