The nurse is teaching a client recovering from a laparoscopic cholecystectomy and is being discharged. Which statement indicates that discharge teaching is effective?

"I need to avoid lifting objects exceeding 5 lb after surgery, usually for 6 weeks!

"I will call the surgeon if I have a fever of 37.7 °C (100°F) or more for two consecutive days."

"I can drive myself home."

"I need someone to stay with me at home for a week after the surgery."

Answer and Explanation

The Correct Answer is B

A. The typical lifting restriction after laparoscopic cholecystectomy is less than 10 pounds, and usually for about 1 week, not 6 weeks.
B. A fever of 100°F (37.7°C) or higher for two days may indicate infection and requires medical evaluation.
C. Clients are generally advised not to drive immediately after surgery, especially if they are taking pain medications.
D. While some assistance may be needed initially, a full week of supervision is usually not required after laparoscopic cholecystectomy.

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Correct Answer is A

Explanation

A. Hypomagnesemia is common in chronic alcoholism and can cause increased blood pressure, hyperactive reflexes, abdominal issues, and mood changes.
B. Hypermagnesemia typically causes decreased reflexes and hypotension.
C. Hypocalcemia can cause neuromuscular irritability but is less directly associated with these symptoms in alcoholism.
D. Hypercalcemia generally causes decreased reflexes and lethargy.

A. Determines that the client does not have a mental illness B. Records that the client's spouse agrees that the procedure is necessary C. Confirms the client appears competent to provide consent. D. Asserts the nurse has explained the risks and benefits of the procedure

Correct Answer is C

Explanation

A. The nurse does not determine the presence or absence of mental illness; this is a medical assessment.
B. The spouse’s agreement is not required for the client’s consent; consent must come directly from the client if competent.
C. The nurse’s signature as a witness confirms that the client appears competent and voluntarily signs the consent form.
D. It is the provider’s responsibility, not the nurse’s, to explain the risks and benefits of the procedure.

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The nurse is teaching a client recovering from a laparoscopic cholecystectomy and is being discharged. Which statement indicates that discharge teaching is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?

Correct Answer is A

Explanation

A nurse is caring for a preoperative client. The nurse signs as a witness on the client's consent form. Which of the following does the nurse's signature on the consent form indicate?

Correct Answer is C

Explanation

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