A nurse is caring for a client with a cholelithiasis who has been scheduled for a laparoscopic cholecystectomy. Why is laparoscopic cholecystectomy preferred by surgeons over an open procedure?

Laparoscopic cholecystectomy poses fewer surgical risks than an open procedure.

Laparoscopic cholecystectomy can be performed in a clinic setting, while an open procedure requires an OR.

A laparoscopic approach allows for the removal of the entire gallbladder.

A laparoscopic approach can be performed under conscious sedation.

Answer and Explanation

The Correct Answer is A

A. Laparoscopic cholecystectomy is less invasive, associated with fewer complications, shorter hospital stays, reduced postoperative pain, and quicker recovery — making it the preferred method.
B. It is not typically performed in a clinic setting; both laparoscopic and open procedures are done in an operating room.
C. Both procedures remove the entire gallbladder; the difference lies in the surgical approach, not the extent of removal.
D. General anesthesia is required for laparoscopic cholecystectomy, not conscious sedation.

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Correct Answer is D

Explanation

A. Calcium levels are often decreased in acute pancreatitis due to fat necrosis and calcium binding within the inflamed pancreas.
B. RBC count is not typically elevated in pancreatitis and is not a key diagnostic indicator.
C. Magnesium may be normal or decreased, but it is not a hallmark finding in pancreatitis.
D. Amylase is a digestive enzyme produced by the pancreas, and its levels rise significantly during acute pancreatitis, making it a primary diagnostic marker.

A. Left upper chest B. Inguinal region C. Neck or jaw D. Right shoulder

Correct Answer is D

Explanation

A. Pain in the left upper chest is more commonly associated with cardiac conditions, not gallbladder inflammation.
B. The inguinal region is not typically affected in cholecystitis.
C. Neck or jaw pain is characteristic of cardiac-related pain, especially myocardial infarction.
D. In cholecystitis, inflammation of the gallbladder can cause pain that radiates to the right shoulder or scapula, due to irritation of the phrenic nerve. This referred pain is a classic sign of gallbladder disease.

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A nurse is caring for a client with a cholelithiasis who has been scheduled for a laparoscopic cholecystectomy. Why is laparoscopic cholecystectomy preferred by surgeons over an open procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

Correct Answer is D

Explanation

A nurse is assessing a client who has been diagnosed with cholecystitis and is experiencing localized abdominal pain. When assessing the characteristics of the client's pain, the nurse should anticipate that it may radiate to what region?

Correct Answer is D

Explanation

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A nurse is caring for a client with a cholelithiasis who has been scheduled for a laparoscopic cholecystectomy. Why is laparoscopic cholecystectomy preferred by surgeons over an open procedure?

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