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 ["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.

A. "They are going to examine my gallbladder and ducts." B. "I'll have an endoscope put down my throat so they can see my gallbladder." C. "Soon those shock waves will get rid of my gallstones." D. "They'll put medication into my gallbladder to dissolve the stones."

Correct Answer is B

Explanation

A. This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B. An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C. This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D. This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.

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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 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

A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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