The nurses is assessing a client who is experiencing an acute episode of cholecystitis. Where should the nurse anticipate the location of the pain?
Right lower quadrant, radiating to the back
Right lower quadrant, radiating to the umbilicus
Right upper quadrant, radiating to the left scapula and shoulder
Right upper quadrant, radiating to the right scapula and shoulder
Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful?
4-6 small meals of low-carbohydrate foods daily
High-fat, high-carbohydrate meals
Low-fat, high-carbohydrate meals
High-fat, low protein meals
Your client had undergone percutaneous transhepatic cholangiography. Which assessment finding indicates complication after the operation?
fever and chills
hypertension
bradycardia
nausea and diarrhea
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?
Jaundice, dark urine, and steatorrhea
Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration
Ecchymosis, petechiae, and coffee-ground emesis
Nausea, vomiting, and anorexia
A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
yellow sclera
light amber urine
circumoral pallor
black, tarry stools
During assessment of a patient with cholestatic (obstructive) jaundice, which of the following would the nurse expect to find?
clay-coloured stools
dark urine and stools
pyrexia and severe pruritis
elevated urinary urobilinogen level
The nursing management of a patient with cholecystitis in association with cholelithiasis should include which of the following?
recommendation of a low-fat diet
information that gallstones once removed tend not to recur
avoidance of morphine in the management of pain
treatment with oral bile salts that dissolve gallstones
What information should be included in teaching about home management after a laparoscopic cholecystectomy?
keeping the bandages on the puncture sites for 48 hours
reporting any bile-coloured drainage or pus from incision
using over-the-counter antiemetics if nausea and vomiting occur
emptying and measuring the contents of the bile bag from the T-tube every day
Select all the apply from the following discharge teaching points for post-surgery laparoscopic cholecystectomy.
a normal diet can be resumed immediately
monitor for signs of infection
avoid heavy lifting (>20lb)
resume normal activities gradually
take a mild laxative
vigorous exercise is encouraged
Select all that apply: complications of cholelithiasis
pancreatitis
kidney failure
diarrhea
constipation
cholecystitis
cholangitis
bile duct obstruction
Lithotripsy is used to treat small gall stones
gallbladder nuclear scanning (cholescintigram) is an accurate test for confirming acute cholecystitis.
cholangitis is an inflammation of the cystic duct
