A nurse is planning to complete an incisional dressing change for a client who is postoperative following an open cholecystectomy, in which of the following areas should the nurse expect to find the client's incision? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[26.598316618911177,38.05963467048711],\"yRanges\":[63.14199395770393,75.22658610271904]}"
A. Right upper quadrant of the abdomen: An open cholecystectomy involves surgical removal of the gallbladder, which is located in the right upper quadrant beneath the liver. The incision is typically made just below the right rib cage, making area A the correct site for the dressing change.
B. Midline of the upper abdomen: This area corresponds to the epigastric region and would not align with the typical location for a gallbladder incision. Incisions here are more common for other abdominal surgeries, such as exploratory laparotomy.
C. Lower midline abdomen: This area is associated with procedures involving the lower gastrointestinal tract, such as appendectomy or hysterectomy, and is not consistent with a cholecystectomy incision.
D. Right lower quadrant: This region is typically related to surgeries involving the appendix, cecum, or right ovary, not the gallbladder. Selecting this area would not correspond to the correct postoperative site for a cholecystectomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You should give your child captopril 200 mg PO daily.": Captopril is an antihypertensive and is not routinely prescribed for Wilms’ tumor unless the child has hypertension. It is not part of standard preoperative management and should not be included in general parent teaching for tumor care.
B. "Your child should have surgery in 7 to 10 days to remove the tumor.": The timing of surgery is individualized based on the child’s condition, staging, and preoperative assessments. Providing a specific timeframe may be inaccurate and cause unnecessary confusion or anxiety.
C. "Your child will not require further treatment after removal of the tumor.": Wilms’ tumor often requires multimodal therapy, including chemotherapy and sometimes radiation, depending on tumor stage and histology. Parents should be aware that surgery alone may not be sufficient for complete treatment.
D. "You should not palpate your child's abdomen prior to surgery.": Palpating the abdomen can risk rupturing the tumor and spreading cancer cells, which could worsen prognosis. Parents should be instructed to avoid abdominal palpation and handle the child gently until surgical removal of the tumor.
Correct Answer is C
Explanation
A. "I do not need to sign a consent form before this procedure.": An intravenous pyelogram is an invasive diagnostic procedure that uses contrast dye, so informed consent is required. The client must understand the risks, benefits, and alternatives before the procedure is performed.
B. "I can have a meal up to 2 hours before the procedure.": Clients are typically instructed to remain NPO for several hours before an intravenous pyelogram to reduce the risk of aspiration and improve visualization of the urinary tract. Eating shortly before the procedure is not recommended.
C. "I will feel a warming sensation after the injection of the dye.": A transient feeling of warmth or flushing is a common and expected response after contrast dye administration during an intravenous pyelogram. Recognizing this normal sensation helps reduce anxiety and indicates appropriate understanding of what to expect during the procedure.
D. "I should limit my fluid intake for 2 days after the procedure.": Clients are encouraged to increase fluid intake after the procedure to help flush the contrast dye from the kidneys. Limiting fluids could increase the risk of nephrotoxicity and delay dye excretion.
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