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

Increasing fluid intake does not directly influence the prevention of biliary colic related to cholecystitis. While staying hydrated is important, it is not the primary preventive measure for colic.

Choice B rationale

Stopping the use of narcotics can help reduce pain and other symptoms, but it is not essential for the prevention of biliary colic. Pain management should be tailored to the individual's needs.

Choice C rationale

Remaining in the supine position is not a recommended practice to prevent the development of biliary colic. Mobility and certain positioning (such as sitting or semi-Fowler’s) may be more beneficial.

Choice D rationale

Decreasing the intake of fat in the diet is essential in the prevention of biliary colic related to cholecystitis. Fatty foods can trigger gallbladder contractions, which may cause pain and exacerbate symptoms.

A. Flush with 15-30 mL sterile water after each medication. B. Crush each immediate-release tablet and mix it in 15-30 mL sterile water. C. Add medications directly to the tube feeding formula. D. Use liquid medications when available. E. Mix all medications, dilute with water and give them together.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Flush with 15-30 mL sterile water after each medication. Flushing the gastrostomy tube with sterile water ensures that the medication is fully delivered and prevents clogging of the tube, which is crucial for maintaining its patency.

Choice B rationale

Crush each immediate-release tablet and mix it in 15-30 mL sterile water. Crushing immediate-release tablets and mixing them with sterile water makes it easier to administer through the tube, ensuring that the medication can be properly absorbed by the body.

Choice C rationale

Add medications directly to the tube feeding formula. Adding medications directly to the feeding formula can cause drug-nutrient interactions and may affect the medication's efficacy and absorption, making this practice generally not recommended.

Choice D rationale

Use liquid medications when available. Liquid medications are preferred for tube feedings as they are less likely to cause blockages and are easier to administer and absorb compared to crushed tablets.

Choice E rationale

Mix all medications, dilute with water and give them together. Mixing all medications together can lead to interactions between the drugs, potentially altering their effectiveness and increasing the risk of adverse reactions, making this practice inappropriate.

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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

Which instruction, given to the client by the nurse, is ESSENTIAL in the prevention of the development of colic related to cholecystitis?

Correct Answer is D

Explanation

A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

Explanation

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