A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

"The pain occurs as a residual pain from cholecystitis."

"The pain results from lying in one position too long during surgery."

"The pain is caused from the nitrous dioxide injected into the abdomen."

"The pain will dissipate if you ambulate frequently."

Answer and Explanation

The Correct Answer is D

A.   Postoperative pain typically resolves after a laparoscopic cholecystectomy since the surgery removes the gallbladder
B.   While positioning during surgery can cause discomfort, isolated right shoulder pain is more commonly attributed to the diaphragmatic irritation from residual nitrous oxide in the abdomen.

C.   Nitrous dioxide used during laparoscopic procedures is not associated with referred pain to the right shoulder. The pain is due to carbon dioxide gas used during the procedure resulting in the irritation of the diaphragm.
D.   This pain is often due to the carbon dioxide used to inflate the abdomen during surgery, which can irritate the diaphragm and refer pain to the shoulder. Ambulation helps to absorb the gas more quickly.

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Correct Answer is D

Explanation

A. Coffee is generally well tolerated unless the patient experiences discomfort or adverse effects from caffeine. It does not typically pose specific risks for patients with Hodgkin's disease.
B. Orange juice is generally safe to consume unless the patient has specific dietary restrictions or intolerances. It provides vitamin C and hydration.
C. Ginger ale is a non-caffeinated, carbonated beverage that is often used to alleviate nausea and upset stomach. It is generally safe to consume for patients with Hodgkin's disease unless there are individual sensitivities.
D. Alcohol consumption, including wine, should be avoided by patients with Hodgkin's disease, especially during treatment. Alcohol can suppress the immune system and may interact with medications or exacerbate side effects.

A. Atrial depolarization B. Atrial repolarization C. Ventricular depolarization D. Ventricular repolarization

Correct Answer is A

Explanation

A. The P wave on an ECG represents atrial depolarization, which occurs as the electrical impulse originates in the sinoatrial (SA) node and spreads through the atria, initiating atrial contraction.
B. Atrial repolarization typically occurs during the QRS complex and is not represented by the P wave. Atrial repolarization is masked by the larger QRS complex.
C. Ventricular depolarization is represented by the QRS complex on an ECG, as the electrical impulse spreads through the ventricles, leading to ventricular contraction.
D. Ventricular repolarization typically occurs during the T wave and is not represented by the P wave. Ventricular repolarization involves the recovery of ventricular muscle cells after contraction.

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A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following beverages should a patient with Hodgkin's disease be instructed to avoid?

Correct Answer is D

Explanation

After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?

Correct Answer is A

Explanation

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