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

Offering cups of fruit juices at frequent intervals is not recommended immediately postoperatively due to the risk of nausea and vomiting. The client should start with clear liquids and gradually progress.

Choice B rationale

Irrigating and repositioning the nasogastric tube frequently is not recommended as it can cause discomfort and dislodge the tube. Proper fixation and periodic checking are preferred.

Choice C rationale

Reminding the client that PCA use may slow the return of bowel function is not accurate. While opioids can slow bowel motility, PCA use is for pain management and should be monitored, not discouraged.

Choice D rationale

Having the client splint the surgical site while deep breathing and coughing helps prevent atelectasis and promotes lung expansion. It also reduces pain and protects the surgical incision during respiratory exercises. .

A. Increase the IV fluid flow rate if the blood pressure is low. B. Listen to the breath sounds in all lung fields. C. Check the abdominal dressing for bleeding. D. Document the amount of output on the I&O sheet.

Correct Answer is D

Explanation

Choice A rationale

Increasing the IV fluid flow rate is a critical task requiring clinical judgment and should not be delegated to an unlicensed nursing assistant. This task involves assessing the patient's hemodynamic status and fluid balance, which requires nursing expertise.

Choice B rationale

Listening to breath sounds in all lung fields is an assessment task that requires nursing knowledge and skills. It involves identifying normal and abnormal breath sounds, which is outside the scope of practice for an unlicensed nursing assistant.

Choice C rationale

Checking the abdominal dressing for bleeding is an assessment and monitoring task. It involves evaluating the wound site for signs of hemorrhage or infection, which requires nursing assessment skills.

Choice D rationale

Documenting the amount of output on the I&O sheet is a task that can be delegated to an unlicensed nursing assistant. This task involves recording measurements, which does not require clinical judgment and is within the assistant's scope of practice.

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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:

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Naxlex Comprehensive Predictor Exams

After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care?

Correct Answer is D

Explanation

The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?

Correct Answer is D

Explanation

The nurse understands that the most complete explanation of obesity is that it is the result of:

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