A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?

Bowel sounds

Temperature

Surgical dressing

Oxygen saturation

Answer and Explanation

The Correct Answer is D

Choice A reason: Assessing bowel sounds is important for postoperative care, especially after abdominal surgery, but it is not the immediate priority upon admission from the PACU.
Choice B reason: Monitoring temperature is essential to detect signs of infection or other complications, but it is not the immediate priority right after surgery.
Choice C reason: Checking the surgical dressing for bleeding or signs of infection is important, but maintaining adequate oxygen saturation takes precedence immediately post-surgery.
Choice D reason: Oxygen saturation is the priority assessment because it ensures that the patient is receiving adequate oxygenation after surgery. Respiratory complications are common postoperatively, and ensuring proper oxygenation is crucial for patient safety.

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Correct Answer is B

Explanation

Choice A reason: Wearing an external collection bag is typically associated with other types of urinary diversions, such as an ileal conduit, not a neobladder.
Choice B reason: A neobladder involves the creation of an internal pouch from a segment of the intestine that stores urine and allows for more natural urination, similar to the function of a natural bladder. This option provides the ability to void through the urethra.
Choice C reason: While some initial incontinence can occur after neobladder surgery, the goal is to eventually have voluntary control over urination with time and practice.
Choice D reason: Having a stoma located in the abdomen is characteristic of an ileal conduit or urostomy, not a neobladder. The neobladder is designed to avoid the need for an external stoma.

A. "You will have a stoma in your left lower abdomen." B. "Your colostomy will not produce formed stool." C. "You should expect your stoma to be a purple color." D. "The end of the stoma will be painful after this procedure."

Correct Answer is A

Explanation

Choice A reason: A sigmoid colostomy is typically located in the left lower abdomen. This statement accurately informs the client about the expected location of their stoma.
Choice B reason: A colostomy in the sigmoid colon produces formed stool. This area of the colon is responsible for the final stages of digestion where stool becomes more solid.
Choice C reason: The stoma should be pink to red and moist, indicating healthy tissue. A purple color may indicate compromised blood flow and requires immediate medical attention.
Choice D reason: The stoma itself is not typically painful after surgery, although the area around the surgical site may be tender. Pain management focuses on the overall surgical area rather than the stoma itself.

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A nurse is admitting a client to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

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