A client has undergone a laparoscopic cholecystectomy and is being prepared for discharge home. When providing health education, the nurse should prioritize what topic?
Management of fluid balance in the home setting
The need for blood glucose monitoring for the next week
Signs and symptoms of intra-abdominal complications
Appropriate use of prescribed pancreatic enzymes
The Correct Answer is C
A. Fluid balance management is more critical in conditions like heart failure or renal disease, not routine post-cholecystectomy care.
B. Blood glucose monitoring is not routinely necessary after cholecystectomy unless the client has diabetes.
C. Educating the client about signs and symptoms of intra-abdominal complications such as infection, bile leak, or bleeding is essential to ensure early recognition and timely medical intervention.
D. Pancreatic enzymes are not usually prescribed after cholecystectomy unless the client has pancreatic insufficiency, which is uncommon.
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Related Questions
Correct Answer is D
Explanation
A. Annual glucose checks aid early detection but do not reduce the risk of developing diabetes.
B. Stopping tobacco use improves overall health but has less direct impact on diabetes risk compared to weight loss.
C. Eye exams help detect diabetic complications but do not prevent diabetes.
D. Weight loss in obese individuals significantly reduces insulin resistance and is the most effective action to lower the risk of developing type 2 diabetes.
Correct Answer is ["3.75"]
Explanation
Step 1: Calculate the infusion rate per hour:
1000 mL ÷ 10 hours = 100 mL/hour
Step 2: Calculate time to infuse remaining 375 mL:
375 mL ÷ 100 mL/hour = 3.75 hours
Step 3: Convert 0.75 hour to minutes:
0.75 × 60 = 45 minutes
Final answer: 3 hours and 45 minutes
Rationale:
The infusion rate is constant. Time remaining = remaining volume ÷ rate. Convert decimal hours to minutes for precise documentation.
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