EDAPT Altered Hepatobiliary Function Practice Exam

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What treatment should a nurse anticipate for a client suspected of having acute cholecystitis?

Antibiotics through oral administration

Lactated Ringer's intravenous (IV)

For a client suspected of having acute cholecystitis, anticipating the administration of Lactated Ringer's intravenous (IV) fluids is appropriate for several reasons. Acute cholecystitis often leads to inflammation and possible infection of the gallbladder, which can cause significant abdominal pain, vomiting, and dehydration. In such situations, providing intravenous fluids helps restore hydration, supports electrolyte balance, and can assist in the management of pain and nausea, creating a more stable environment for further treatment.

Additionally, IV fluids can be essential in preparing the patient for potential surgical intervention, which is often necessary for treating acute cholecystitis. By ensuring the patient is well-hydrated and stabilized, the risk of complications during surgery is minimized.

The other options, while they may have some relevance in different contexts, do not directly align with the immediate treatment goals for acute cholecystitis. Oral antibiotics are less effective in severe cases due to the need for rapid systemic management, high-dose pain management alone does not address hydration or the surgical needs of the patient, and oral fluids may not be suitable if the patient is experiencing nausea and vomiting. Therefore, the choice of Lactated Ringer's IV is a comprehensive approach to managing the initial presentation

High-dose pain management only

Oral fluids to encourage hydration

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