The morning after admission, a client being treated for gallstones begins to vomit about every 15 minutes and is complaining of abdominal pain. The most appropriate action by the nurse would be to
a. encourage the client to ambulate.
b. offer clear fluids.
c. prepare to insert a nasogastric tube.
d. turn the client to the right side.
C
If the client continues vomiting, the nurse should obtain an order for a nasogastric tube with a suction attachment to relieve the distention and vomiting. Suction also removes the gastric juices that stimulate cholecystokinin, which in turn causes painful contractions of the gallbladder.
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