After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

Infection

Binding

Bowel obstruction

Dehydration

Answer and Explanation

The Correct Answer is A

Choice A reason: Infection is a common immediate complication after any surgical procedure, including cholecystectomy. The nurse should monitor for signs of infection, such as fever, redness, swelling, or discharge at the surgical site, to ensure prompt intervention and treatment.
Choice B reason: The term "binding" is unclear and not typically used to describe a specific postoperative complication. This choice may be referring to issues such as adhesions or scar tissue, but these are not immediate concerns.
Choice C reason: Bowel obstruction can occur after abdominal surgery, but it is not the most immediate concern following cholecystectomy. It may develop later as a complication but is not the primary focus in the immediate postoperative period.
Choice D reason: Dehydration can be a concern if the patient is not taking in adequate fluids postoperatively, but it is not as immediate a concern as monitoring for infection.

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Correct Answer is C

Explanation

Choice A reason: Urine in the drainage appliance is an expected finding since the ileal conduit diverts urine through the stoma.
Choice B reason: Redness of the stoma is a normal finding postoperatively as the tissue heals.
Choice C reason: Feces in the drainage appliance is unexpected and indicates a possible fistula or leakage from the intestine into the urinary tract.
Choice D reason: Edema of the stoma is common postoperatively due to surgical trauma and is typically temporary.

A. "You will have a stoma in your left lower abdomen." B. "Your colostomy will not produce formed stool." C. "You should expect your stoma to be a purple color." D. "The end of the stoma will be painful after this procedure."

Correct Answer is A

Explanation

Choice A reason: A sigmoid colostomy is typically located in the left lower abdomen. This statement accurately informs the client about the expected location of their stoma.
Choice B reason: A colostomy in the sigmoid colon produces formed stool. This area of the colon is responsible for the final stages of digestion where stool becomes more solid.
Choice C reason: The stoma should be pink to red and moist, indicating healthy tissue. A purple color may indicate compromised blood flow and requires immediate medical attention.
Choice D reason: The stoma itself is not typically painful after surgery, although the area around the surgical site may be tender. Pain management focuses on the overall surgical area rather than the stoma itself.

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After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is two days postoperative following the creation of an ileal conduit. Which of the following is an unexpected finding associated with this procedure?

Correct Answer is C

Explanation

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

Which finding in the patient's history increases the risk for acute pancreatitis?

The nurse suspects that a patient who underwent esophageal surgery has a misplaced jejunostomy feeding tube. Which action would the nurse take?

A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?

A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body. Which of the following post-surgical manifestations require nursing intervention to avoid a serious complication?

A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?

A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?

A nurse is providing teaching for a client who has experienced an acute episode of gastritis. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?