A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?

Choice A reason: Mr. Dominic's pain has been controlled to a manageable level, and although he experienced elevated liver enzymes, there are no acute symptoms requiring immediate intervention. He has been able to sleep, indicating that his current condition is stable.
Choice B reason: Mr. Bradford, although experiencing discomfort and blood-tinged urine, is post-surgical, and his condition is stable with managed output. Ambulating is a positive sign post-surgery, indicating recovery. His condition needs monitoring but is not the most urgent.
Choice C reason: Mr. Jennings, who had a TURBT yesterday, is experiencing bladder spasms and high volume irrigation. The output is almost equivalent to the input, which is a positive sign, but bladder spasms can indicate irritation, infection, or a blockage that needs prompt assessment and intervention to prevent further complications.
Choice D reason: Ms. Griffiths presents a similar case to Mr. Dominic, with controlled pain and elevated liver enzymes. She is stable overnight, and her pain level is low after medication, indicating her condition is currently managed.

Choice A reason: The statement that the tube is a routine standard following this type of surgery is too vague and does not provide the client with specific information about the purpose of the NG tube. Providing clear and specific reasons for medical interventions helps improve client understanding and comfort.
Choice B reason: While NG tubes can be used for nutritional support, this is not typically their primary purpose in the immediate postoperative period for colectomy patients. The main purpose is usually decompression, not nutrition.
Choice C reason: Telling the client that the tube can be explained once they are stable after surgery does not adequately address the client's need for information before the procedure. It is essential to provide clear and accurate information beforehand to reduce anxiety and promote informed consent.
Choice D reason: This is the correct answer because it clearly explains the primary purpose of a large-bore NG tube after a colectomy, which is to remove gas and fluid from the stomach to prevent distension and complications such as nausea, vomiting, and aspiration.