A patient with acute cholecystitis is concerned about having the flu because of an oral temperature of 101.8°F. What should the nurse respond to the patient?
1. "Your cholecystectomy cannot be performed laparoscopically now."
2. "Tell me exactly what you ate for your last meal."
3. "Bacterial infection is often present in cholelithiasis."
4. "I will call the surgeon and ask to postpone the cholecystectomy."
Correct Answer: 3
Bacterial infection is often present in acute cholecystitis and may cause an elevated temperature and respiratory rate. Offering to call the surgeon to postpone surgery and asking about the last meal consumed are not appropriate responses. The surgeon will make the determination about the type of surgery to be performed.
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