CHOLECYSTITIS NCLEX QUESTIONS AND VERIFIED ANSWERS WITH NGN LATEST 2023-2024

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CHOLECYSTITIS NCLEX QUESTIONS AND VERIFIED ANSWERS WITH NGN LATEST 2023-2024 the nurse is collecting data for a pt who develops jaundice and dark, amber colored urine. the nurse recognizes that w... hich of the following is most likely the cause? a. encephalopathy b. pancreatitis c. bile duct obstruction d. cholecystitis c: bile duct obstruction can result in jaundice and dark aber colored urine due to bile blockage the nurse reinforces teaching for a pt after a cholecystectomy on a low fat diet. the nurse will know that the pt understands the diet if which of the following menu items is selected? a. roast chick rice gelatin dessert b. cream of chick soup, milk, gelatin dessert c. meat loaf, mashed potatoes with small amount of gravy, green beans d. turkey and cheese sandwich on whole grain bread, apply, milk a: roast chicken, rice, and gelatin dessert is a low fat meal the nurse is caring for a pt who had an open cholecystectomy 24 hrs ago. which of the follwing actions should the nurse take to assist the pt to maintain an effective breathing pattern? select all that apply a. place in a supine position b. provide analgesics for pain c. encourage coughing and deep breathing d. monitor bowel sounds e. assist with splinting during coughing f. maintain bedrest for 48 hrs after bce: pain relief allows comfortable breathing, preventing shallow respiration's and guarding, splinting makes coughing more comfortable, encouraging coughing and deep breathing to keep lung clear a nurse is teaching a client about choledocholithiasis. the nurse explains that the term means 1. infection of the bile duct 2. stones in the hepatic and bile duct 3. inflammation of the gallbladder 4. stones in the gallbladder 4. stones in the hepatic and bile duct a nurse is doing preop teaching for a client who will have a cholecystectomy. the nurse teaches that special care must be taken to prevent what postop complication? 1. hypostatic pneumonia 2. thrombosis 3. hemorrhage 4. paralytic ileus 1. hypostatic pneumonia: the incision is located below the ribcage; therefore the coughing and deep breathing necessary to prevent pneumonia are especially difficult post op a 38 y/o woman was admitted with a medical dx of cholecystitis. the nurse would expect the hx of her present illness to include intolerance to which nutrient? 1.carbohydrates 2. fat 3. protein 4. vitamin c fat: inflammation of the gallbladder, presence of gallstones, or both interfere with movement of the bile from the liver or gallbladder into the small intestine, where it promotes the digestion of fats a client has had gallbladder attacks in the past and is considered at risk for gallstone formation. the nurse should check that the clients diet is: 1. high in antacids and calcium 2. low in cholesterol 3. high in protein and carbohydrates 4. free of electrolytes 2. low in cholesterol: biliary calculi are high in cholesterol, therefore the cholesterol intake of the client should be limited a postop cholecystectomy client is receiving a clear liquid diet. which foods are allowed? 1. jello, cream of chick soup, milk 2. oatmeal, oj, vanilla pudding 3. water, coffee or tea, sherbert, pureed bananas 4. a grape popsicle, plain gelatin, apple juice, water 4. a grape popsicle, plain gelatin, apple juice, water a 32 y/o client had a cholecystectomy 2 hrs ago. the client weighs 250 lbs and had general anesthesia. the client is c/o pain. priority nursing dx at this time: 1. alteration in comfort 2. high risk for airway impairment 3. alteration in fluid volume 4. knowledge deficit high risk for airway impairment: the airway is of highest priority in postop clients after general anesthesia two days after her cholecystectomy, a client has been experiencing nausea and vomiting. the client has a t tube in place. for what electrolyte imbalance will the nurse monitor? 1. hypernatremia 2. hyperkalemia 3. hypervolemia 4. hypokalemia 4. hypokalemia: gastric secretions are high in postassium 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? A. 4-6 small meals of low-carbohydrate foods daily B. High-fat, high-carbohydrate meals C. Low-fat, high-carbohydrate meals D. High-fat, low protein meals 3. Answer: C. Low-fat, high-carbohydrate mealsFor the client with cholecystitis, fat intake should be reduced. The calories from fat should be substituted with carbohydrates. Reducing carbohydrate intake would be contraindicated. Any diet high in fat may lead to another attack of cholecystitis. Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit? A. Jaundice, dark urine, and steatorrhea B. Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration C. Ecchymosis petechiae, and coffee-ground emesis D. Nausea, vomiting, and anorexia D. Nausea, vomiting, and anorexiaAcute cholecystitis is an acute inflammation of the gallbladder commonly manifested by the following: anorexia, nausea, and vomiting; biliary colic; tenderness and rigidity the right upper quadrant (RUQ) elicited on palpation (e.g., Murphy's sign); fever; fat intolerance; and signs and symptoms of jaundice. Ecchymosis, petechiae, and coffee-ground emesis are clinical manifestations of esophageal bleeding. The coffee-ground appearance indicates old bleeding. Jaundice, dark urine, and steatorrhea are clinical manifestations of the icteric phase of hepatitis. [Show More]

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