hich of the following is an appropriate post-operative nursing intervention following a cholecystectomy?
Assist the physician in obtaining signed consent for the surgery
Encourage early ambulation once pain is well-controlled.
Place the patient in a supine position.
Allow patient to eat fast food brought in by their family.
The Correct Answer is B
A. Obtaining informed consent is the physician’s responsibility and should occur before the surgery, not post-operatively.
B. Early ambulation after a cholecystectomy helps prevent postoperative complications such as atelectasis, pneumonia, and deep vein thrombosis (DVT). It is an appropriate and evidence-based nursing intervention once pain is controlled.
C. Keeping the patient strictly supine can impair lung expansion and increase the risk for respiratory complications; upright positioning is generally encouraged.
D. Fast food is not appropriate immediately post-op, as it can be high in fat and may worsen gastrointestinal discomfort or delay recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heavy caffeine intake can increase gastric acid secretion and irritate the stomach lining, thus it is not recommended to prevent ulcers.
B. This is commonly advised to reduce irritation and promote healing in ulcer prevention.
C. These medications help reduce gastric acid and protect the stomach lining, aiding ulcer prevention.
D. Stress reduction can help decrease acid secretion and ulcer risk.
Correct Answer is B
Explanation
A. Encouraging the client to join a support group can be beneficial for motivation and adherence, but it is not the initial or most essential step in developing an individualized exercise plan.
B. This is the first step in planning an appropriate and safe exercise regimen. Understanding the client's current habits helps tailor recommendations to their fitness level and readiness for change.
C. Providing the client with a list of signs and symptoms to report to the provider is important but should come after assessing their baseline activity and creating a safe plan.
D. Assisting the client to develop a healthy eating plan is important for overall diabetes management but is not directly related to initiating an exercise program, which is the client’s expressed goal.
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