The client asks about the use of a T-tube following an open cholecystectomy. The nurse's best response is that a T-tube:

Reroutes bile into the intestine for excretion.

Assists the surgeon to visualize the gallbladder and duct system.

Helps to maintain patency of the common bile duct.

Prevents leakage of bile onto the client's skin.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A T-tube does not reroute bile into the intestine. Its purpose is to drain bile externally from the common bile duct to prevent obstruction and ensure healing.

Choice B rationale

The T-tube is not used for visualization of the gallbladder or duct system during surgery. Instead, it provides an external bile drainage route postoperatively to avoid bile buildup.

Choice C rationale

The T-tube helps to maintain patency of the common bile duct by providing a direct drainage path for bile. This prevents bile from accumulating and causing complications like jaundice or infection.

Choice D rationale

Preventing leakage of bile onto the skin is not the primary purpose of a T-tube. Its main function is to ensure bile can bypass any postoperative swelling or blockage in the bile ducts.

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Correct Answer is D

Explanation

Choice A rationale

Pain relieved by eating food is more characteristic of duodenal ulcers rather than gastric ulcers. Gastric ulcers typically cause pain shortly after eating due to the stomach's exposure to gastric acid and food content.

Choice B rationale

Pain occurring at night can be associated with both duodenal and gastric ulcers. However, it is not as distinctive for gastric ulcers as the timing relative to meals.

Choice C rationale

Pain always on the left side is not a typical presentation for gastric ulcers, as the location can vary and is often associated with the mid-epigastric area rather than a specific side.

Choice D rationale

Pain occurring 30 minutes after eating is consistent with gastric ulcers. This timing reflects the direct irritation of the ulcerated gastric mucosa by the ingested food and gastric acid.

A. Flush the bladder with antioxidants. B. Acidify the urine. C. coli from adhering to the bladder wall. D. Coat the bladder lining.

Correct Answer is B

Explanation

Choice A rationale

While antioxidants can benefit overall health, they do not specifically target the urinary tract or provide the mechanism needed to prevent urinary tract infections.

Choice B rationale

Vitamin C (ascorbic acid) can acidify the urine, creating a less hospitable environment for bacteria, including those causing urinary tract infections (UTIs).

Choice C rationale

Preventing E. coli adhesion to the bladder wall is a specific function of other substances like cranberry juice, not vitamin C. Therefore, this choice does not align with vitamin C's function.

Choice D rationale

Coating the bladder lining is not a known function of vitamin C. Other medical treatments or substances would be needed for this purpose, making this choice incorrect.

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The client asks about the use of a T-tube following an open cholecystectomy. The nurse's best response is that a T-tube:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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