After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?
Infection
Binding
Bowel obstruction
Dehydration
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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Related Questions
Correct Answer is B
Explanation
Choice A reason: Hepatitis is inflammation of the liver and does not directly cause biliary sludge. It can lead to liver damage and other complications, but not specifically biliary sludge.
Choice B reason: Bile stasis, or the stagnation of bile, leads to the formation of biliary sludge. When bile does not flow properly, it can thicken and form sludge, which consists of bile salts, cholesterol, and other substances.
Choice C reason: Ascites is the accumulation of fluid in the peritoneal cavity, typically due to liver disease, and does not cause biliary sludge.
Choice D reason: Biliary colic is pain caused by the obstruction of the bile ducts, often by gallstones, but it does not itself cause the formation of biliary sludge. Sludge can lead to biliary colic if it obstructs the bile ducts, but it is not a causative condition.
Correct Answer is C
Explanation
Choice A reason: Encouraging increased fluid intake is not appropriate for clients with acute glomerulonephritis as it can exacerbate fluid retention and hypertension, worsening the condition.
Choice B reason: Frequent ambulation is generally beneficial for overall health but is not a specific intervention for managing acute glomerulonephritis.
Choice C reason: Administering antibiotics is essential if the acute glomerulonephritis is caused by a bacterial infection, such as post-streptococcal glomerulonephritis. Treating the underlying infection can help resolve the kidney inflammation.
Choice D reason: Obtaining weight weekly is insufficient for monitoring fluid balance in acute glomerulonephritis. Daily weights are more appropriate to closely monitor fluid retention and adjust treatment as needed.
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