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 B

Explanation

A. Fatigue is a common symptom in patients with multiple myeloma but may not directly impact safety in the home environment as much as other factors.
B. An unsteady gait can increase the risk of falls and injuries, making it a priority for safety considerations in the home environment.
C. Back pain is common in multiple myeloma but may not directly affect safety in the home environment unless it significantly impairs mobility.

D. Dyspnea on exertion may limit physical activity but may not pose an immediate safety risk in the home environment unless it indicates a severe respiratory compromise.

A. The resting heart rate increases when digoxin is taken." B. "Digoxin raises blood pressure." C. "Digoxin slows the heart rate." D. The force of heart contractions is increased with digoxin." E. "Digoxin decreases ectopic beats."

Correct Answer is ["C","D","E"]

Explanation

A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone

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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

The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

Correct Answer is B

Explanation

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

The nurse is caring for a group of clients. Which client is at highest risk for developing leukemia?

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