Nokea
The nurse is caring for the client with acute cholecystitis. The nurse anticipates that conservative treatment will include which component?
- A. Providing a low-texture bland diet
- B. Giving anticholinergic medications
- C. Positioning so the head of the bed is flat
- D. Administering laxatives to clear the bowel
Correct Answer: B
Rationale: A. The client should be NPO rather than be given a bland diet to decrease gallbladder stimulation. B. The nurse should anticipate giving anticholinergic medications to decrease secretions and counteract smooth muscle spasms. C. The client should be positioned with the head of the bed elevated (not flat) to decrease the pressure of the abdominal contents on the diaphragm and to improve ventilation. D. Laxatives would increase GI stimulation unnecessarily.
You may also like to solve these questions
During a health promotion seminar for senior citizens, a participant asks the nurse to discuss symptoms of gastric cancer. Which statement should be the basis for the nurse’s response?
- A. Cancers that do not penetrate the gastric muscular layer are asymptomatic in the majority of clients.
- B. Pain from early gastric cancer lesions cannot be reduced by over-the-counter (OTC) histamine receptor antagonists.
- C. Unexplained weight gain and increased body mass index (BMI) are early symptoms of gastric cancer.
- D. Anemia is uncommon in gastric cancer, but if it occurs, it is likely due to the effects of aging.
Correct Answer: A
Rationale: A. Eighty percent of clients with early gastric cancer do not have symptoms. B. Pain caused by gastric cancer can be alleviated by OTC histamine receptor antagonists. C. Weight loss and anemia are common symptoms, not weight gain and increased BMI. D. Anemia occurs from malabsorption and nutritional deficiencies, not the effects of aging.
The public health nurse is discussing hepatitis B with a group in the community. Which health promotion activities should the nurse discuss with the group?
- A. Do not share needles or equipment.
- B. Use barrier protection during sex.
- C. Get the hepatitis B vaccine.
- D. Obtain immune globulin injections.
- E. Avoid any type of hepatotoxic medications.
Correct Answer: A,B,C
Rationale: Preventing hepatitis B involves avoiding needle sharing, using condoms, and getting vaccinated, as it is bloodborne and sexually transmitted. Immune globulin is post-exposure, and hepatotoxic drugs are less relevant.
The 70-year-old client is admitted to the medical unit diagnosed with acute diverticulitis. Which interventions should the nurse implement? Select all that apply.
- A. Tell the client not to eat or drink.
- B. Start an intravenous line.
- C. Assess the client for abdominal tenderness.
- D. Have the dietitian consult for a low-residue diet.
- E. Place the client on bedrest with bathroom privileges.
Correct Answer: A,B,C,E
Rationale: NPO status, IV line, abdominal assessment, and bedrest manage acute diverticulitis by resting the bowel and monitoring complications. Low-residue diets are for stable phases.
The client has been experiencing difficulty and straining when expelling feces. Which intervention should the nurse discuss with the client?
- A. Explain some blood in the stool will be normal for the client.
- B. Instruct the client in manual removal of feces.
- C. Encourage the client to use a cathartic laxative on a daily basis.
- D. Place the client on a high-fiber diet.
Correct Answer: D
Rationale: A high-fiber diet promotes regular, softer stools, reducing straining. Blood is not normal, manual removal is invasive, and daily laxatives cause dependency.
The charge nurse is monitoring client laboratory values. Which value is expected in the client with cholecystitis who has chronic inflammation?
- A. An elevated white blood cell (WBC) count.
- B. A decreased lactate dehydrogenase (LDH).
- C. An elevated alkaline phosphatase.
- D. A decreased direct bilirubin level.
Correct Answer: C
Rationale: Chronic cholecystitis often causes elevated alkaline phosphatase due to bile duct irritation or obstruction. WBC elevation is more acute, and bilirubin or LDH changes are less specific.