The nurse is caring for a client following an open (incisional) cholecystectomy. Which would be the PRIORITY nursing intervention?

Monitor for the return of the client's gag reflex.

Have the client do deep breathing exercises.

Ambulate the client in the hallway.

Discuss dietary restrictions and menu choices.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Monitoring for the return of the client's gag reflex is important post-anesthesia, but it is not the priority intervention following an open cholecystectomy. The focus should be on respiratory function and preventing complications.

Choice B rationale

Deep breathing exercises are a priority nursing intervention following an open cholecystectomy to prevent pulmonary complications such as atelectasis and pneumonia. Ensuring proper lung expansion and oxygenation is crucial.

Choice C rationale

Ambulating the client is important for preventing complications such as deep vein thrombosis, but it is not the immediate priority. Early mobilization should be encouraged as soon as the patient is stable and can tolerate it.

Choice D rationale

Discussing dietary restrictions and menu choices is important for long-term recovery and prevention of further gallbladder issues, but it is not the immediate priority after surgery. Postoperative respiratory management takes precedence.

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Correct Answer is D

Explanation

Choice A rationale

Hypoactive bowel sounds are common post-operatively due to anesthesia and immobility, so they are not the most concerning immediate finding.

Choice B rationale

Intermittent incisional pain rated 7/10 is significant but expected post-operatively, and manageable with pain control measures.

Choice C rationale

Blood pressure of 110/70 and heart rate of 86 are within normal ranges, so these are not alarming post-operative signs.

Choice D rationale

Increased restlessness can indicate pain, anxiety, or potentially worsening condition, making it the most concerning and requiring immediate attention.

A. Run for 15 minutes four times a week. B. Walk for 30 minutes 5-7 days a week. C. Play soccer for an hour every weekend. D. Lift weights three times a week.

Correct Answer is B

Explanation

Choice A rationale

Running for 15 minutes four times a week provides cardiovascular benefits but might not be enough duration or frequency for effective weight loss. While it helps in improving cardiovascular fitness, longer and more consistent activity is generally recommended for weight loss.

Choice B rationale

Walking for 30 minutes 5-7 days a week is an ideal cardiovascular exercise plan for weight loss. It is manageable, sustainable, and helps in burning calories effectively. Consistent, moderate-intensity exercise supports gradual and healthy weight loss.

Choice C rationale

Playing soccer for an hour every weekend provides cardiovascular benefits but is not frequent enough for sustained weight loss. Regular and more frequent exercise is necessary for effective and consistent weight loss results.

Choice D rationale

Lifting weights three times a week is excellent for building muscle and boosting metabolism but is not primarily a cardiovascular exercise. While important for overall fitness, combining it with aerobic activities like walking or running is essential for weight loss. .

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The nurse is caring for a client following an open (incisional) cholecystectomy. Which would be the PRIORITY nursing intervention?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the status of a post-operative client in the PACU. The nurse should be most concerned with which assessment finding?

Correct Answer is D

Explanation

The nurse has discussed activity as a way to lose weight with a group of overweight clients. Which is the BEST cardiovascular exercise plan for weight loss?

Correct Answer is B

Explanation

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