A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

Remove the abdominal dressings on the day of surgery.

Encourage ambulation on the day of surgery.

Place the client in a supine position postoperatively.

Offer the client ice cream postoperatively.

Answer and Explanation

The Correct Answer is B

A.   Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B.   Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C.   Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D.   Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.

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Correct Answer is B

Explanation

A. Sanguineous drainage is typically bright red and composed mainly of red blood cells. It is common immediately after surgery but does not typically indicate infection.
B. Purulent drainage is thick, yellow, or greenish in color and contains pus, indicating infection. It requires prompt assessment and intervention.
C. Serous drainage is clear, watery, and pale yellow in color. It is typically a normal finding in surgical wounds.
D. Serosanguineous drainage is pink to pale red and contains a mixture of blood and serum. It is common in the early stages of wound healing.

A. cranberry juice B. chocolate bar C. jello (a gelatin dessert) D. an orange E. grapefruit juice

Correct Answer is ["A","C"]

Explanation

A. Cranberry juice is typically low in potassium and would be suitable for a patient instructed to limit potassium intake.
B. Chocolate is generally high in potassium and would not be a suitable snack for a patient limiting potassium intake.
C. Jello is typically low in potassium and can be a suitable snack for a patient limiting potassium intake.
D. Oranges are high in potassium and would not be suitable for a patient instructed to limit potassium intake.
E. Grapefruit juice is high in potassium and would not be suitable for a patient limiting potassium intake.

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A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

Correct Answer is B

Explanation

A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

Correct Answer is ["A","C"]

Explanation

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