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

"I will eat a low-fat diet to prevent gallstone formation in the future."

"I should avoid heavy lifting for at least four weeks after the surgery."

"I will continue to take my prescribed antibiotics until they are finished."

"I can resume my regular exercise routine immediately after the surgery."

Answer and Explanation

The Correct Answer is D

Choice A reason:

This statement is correct and does not indicate a need for further teaching. Eating a low-fat diet after cholecystectomy is recommended to prevent symptoms and complications related to the digestion of fatty foods.

Choice B reason:

This statement is correct and does not indicate a need for further teaching. Avoiding heavy lifting for at least four weeks after cholecystectomy is important to allow the surgical site to heal properly and prevent strain on the incision site.

Choice C reason:

This statement is correct and does not indicate a need for further teaching. It is essential to continue taking prescribed antibiotics until they are finished to prevent infection and promote proper healing after surgery.

Choice D reason:

This statement is incorrect and indicates a need for further teaching. The client should not resume their regular exercise routine immediately after the surgery. After cholecystectomy, clients should avoid strenuous physical activities for a period specified by the healthcare provider to promote proper healing and prevent complications. The nurse should educate the client on gradually increasing their activity level and resuming exercise after receiving clearance from their healthcare provider.

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Correct Answer is B

Explanation

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.

A. "Genetic factors have no influence on gallstone formation." B. "Family history increases the risk of developing gallstones by approximately 10%." C. "Genetic factors play a significant role in determining bile composition, increasing the risk of gallstone formation." D. "Family history only affects the risk of gallstones in men, not women."

Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.

Choice C reason:

This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.

Choice D reason:

Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

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?

Correct Answer is C

Explanation

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 client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?

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

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?