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A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?

"You can resume your normal activities immediately after surgery."

"You should avoid any physical activity for at least a week."

"You can gradually increase your activity level as tolerated, but avoid heavy lifting for a few weeks."

"You should avoid any physical activity for at least six weeks."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Resuming normal activities immediately after surgery is not recommended, as the client needs time to recover and heal.

Choice B reason:

Avoiding physical activity for a whole week is not necessary in most cases, as clients are usually encouraged to ambulate and engage in light activity to prevent complications.

Choice C reason:

This statement is correct. After an open cholecystectomy, clients are generally encouraged to gradually increase their activity level as tolerated. However, they should avoid heavy lifting and strenuous activity for a few weeks to allow the surgical incision to heal.

Choice D reason:

Avoiding physical activity for six weeks is not typically required after a cholecystectomy. Gradual activity resumption is recommended earlier than that.

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Correct Answer is D

Explanation

Choice A reason:

Continuing to eat a high-fat diet is not a preventive measure for gallstones. A low-fat diet is recommended after cholecystectomy.

Choice B reason:

Consuming small, frequent meals can help prevent gallbladder distension, but it is not the primary preventive measure for gallstones.

Choice C reason:

Avoiding physical activity is not a recommended preventive measure for gallstone formation. Regular exercise supports overall gallbladder function.

Choice D reason:

This statement is correct. Engaging in regular exercise is an important preventive measure for gallstone formation and overall gallbladder health.

A. Acetaminophen. B. Ibuprofen. C. Morphine sulfate. D. Diphenhydramine.

Correct Answer is C

Explanation

Choice A reason:

Acetaminophen is an analgesic but may not provide sufficient pain relief for biliary colic.

Choice B reason:

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) but may not be the most effective option for pain relief in cases of biliary colic.

Choice C reason:

This statement is correct. Morphine sulfate is an opioid analgesic often used to provide pain relief for biliary colic, as it can effectively alleviate severe, cramping pain associated with gallstone obstruction.

Choice D reason:

Diphenhydramine is an antihistamine and is not used for pain relief in cases of biliary colic.

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A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

Correct Answer is D

Explanation

A nurse is caring for a client with cholelithiasis experiencing biliary colic. Which medication should the nurse anticipate administering to provide pain relief?

Correct Answer is C

Explanation

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

A client has been diagnosed with cholelithiasis and is experiencing severe pain due to gallstone obstruction. The client asks the nurse about pain relief measures. What is the most appropriate response by the nurse?

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?

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 scheduled for a cholecystectomy. The client expresses concern about the surgery and its potential complications. What is the nurse's best response?

A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

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?