A nurse is caring for a client with severe acute abdominal pain secondary to cholelithiasis.Which nursing actions promote effective pain management? Select all that apply.

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A) The pain associated with cholelithiasis can be severe. Nursing interventions that help to promote effective pain management include withholding oral food and fluids and inserting a nasogastric tube connected to low wall suction. The nurse should educate the client about decreasing fat in the diet, as fat entering the duodenum initiates gallbladder contractions, causing pain when gallstones are in the ducts. Administering morphine, meperidine, or another opioid analgesic as ordered aids in pain management. The nurse should place the patient in Fowler position, not supine, to decrease pressure on the inflamed gallbladder.
B) The pain associated with cholelithiasis can be severe. Nursing interventions that help to promote effective pain management include withholding oral food and fluids and inserting a nasogastric tube connected to low wall suction. The nurse should educate the client about decreasing fat in the diet, as fat entering the duodenum initiates gallbladder contractions, causing pain when gallstones are in the ducts. Administering morphine, meperidine, or another opioid analgesic as ordered aids in pain management. The nurse should place the patient in Fowler position, not supine, to decrease pressure on the inflamed gallbladder.
C) The pain associated with cholelithiasis can be severe. Nursing interventions that help to promote effective pain management include withholding oral food and fluids and inserting a nasogastric tube connected to low wall suction. The nurse should educate the client about decreasing fat in the diet, as fat entering the duodenum initiates gallbladder contractions, causing pain when gallstones are in the ducts. Administering morphine, meperidine, or another opioid analgesic as ordered aids in pain management. The nurse should place the patient in Fowler position, not supine, to decrease pressure on the inflamed gallbladder.
D) The pain associated with cholelithiasis can be severe. Nursing interventions that help to promote effective pain management include withholding oral food and fluids and inserting a nasogastric tube connected to low wall suction. The nurse should educate the client about decreasing fat in the diet, as fat entering the duodenum initiates gallbladder contractions, causing pain when gallstones are in the ducts. Administering morphine, meperidine, or another opioid analgesic as ordered aids in pain management. The nurse should place the patient in Fowler position, not supine, to decrease pressure on the inflamed gallbladder.
E) The pain associated with cholelithiasis can be severe. Nursing interventions that help to promote effective pain management include withholding oral food and fluids and inserting a nasogastric tube connected to low wall suction. The nurse should educate the client about decreasing fat in the diet, as fat entering the duodenum initiates gallbladder contractions, causing pain when gallstones are in the ducts. Administering morphine, meperidine, or another opioid analgesic as ordered aids in pain management. The nurse should place the patient in Fowler position, not supine, to decrease pressure on the inflamed gallbladder.

A Nurse Is Caring for a Client with Severe Acute