The nurse reinforces teaching for a patient after a cholecystectomy. The nurse knows that the patient understands the diet if which menu items are selected?

meat loaf, mashed potatoes with gravy, green beans

beef and cheese sandwich on whole grain bread apple, whole milk

roast turkey, rice, gelatin dessert

cream of chicken soup, milk, gelatin dessert

Answer and Explanation

The Correct Answer is C

A. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.
B. This meal is high in fat and may be difficult to digest after a cholecystectomy.

Whole milk can also be rich in fat, which may not be well tolerated.

C. This meal is lower in fat and includes easily digestible foods such as roast turkey and rice, which are generally well tolerated after a cholecystectomy. Gelatin dessert provides a light and refreshing option for dessert without adding excess fat.
D. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.

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Correct Answer is B

Explanation

A. The QRS interval may vary but is typically less than 0.12 seconds in normal sinus rhythm.
B. Normal sinus rhythm typically has a heart rate between 50 and 100 beats per minute.
C. In normal sinus rhythm, P waves are typically upright and precede each QRS complex.
D. The PR interval may vary but is typically between 0.12 and 0.20 seconds in normal sinus rhythm.

A. "The pain occurs as a residual pain from cholecystitis." B. "The pain results from lying in one position too long during surgery." C. "The pain is caused from the nitrous dioxide injected into the abdomen." D. "The pain will dissipate if you ambulate frequently."

Correct Answer is D

Explanation

A. Postoperative pain typically resolves after a laparoscopic cholecystectomy since the surgery removes the gallbladder
B. While positioning during surgery can cause discomfort, isolated right shoulder pain is more commonly attributed to the diaphragmatic irritation from residual nitrous oxide in the abdomen.

C. Nitrous dioxide used during laparoscopic procedures is not associated with referred pain to the right shoulder. The pain is due to carbon dioxide gas used during the procedure resulting in the irritation of the diaphragm.
D. This pain is often due to the carbon dioxide used to inflate the abdomen during surgery, which can irritate the diaphragm and refer pain to the shoulder. Ambulation helps to absorb the gas more quickly.

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The nurse reinforces teaching for a patient after a cholecystectomy. The nurse knows that the patient understands the diet if which menu items are selected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

Which of the following is the best indicator of fluid balance in the body?

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

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The nurse reinforces teaching for a patient after a cholecystectomy. The nurse knows that the patient understands the diet if which menu items are selected?

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