Exam (elaborations)
Cholecystectomy (1)
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Exam of 2 pages for the course Population & Wildlife Post at Population & Wildlife Post (Cholecystectomy (1))
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CholecystectomyC.
Preoperative teaching, demonstration, and redemonstration of deep breathing and coughing are
needed on patients having abdominal surgery to prevent postoperative atelectasis. Incisional
care and the importance of completing antibiotics are better discussed after surgery, when the
patient will be more likely to retain this information. The patient does not usually need
information about medications that are used intraoperatively. - ANS-Which topic is most
important for the nurse to discuss preoperatively with a patient who is scheduled for abdominal
surgery for an open cholecystectomy?
a. Care for the surgical incision
b. Medications used during surgery
c. Deep breathing and coughing techniques
d. Oral antibiotic therapy after discharge home
B.
After a laparoscopic cholecystectomy, the patient will have Band-Aids in place over the
incisions. Patients are
discharged the same (or next) day and have few restrictions on activities of daily living.
Drainage from the incisions would be abnormal, and the patient should be instructed to call the
health care provider if this occurs. A low-fat diet may be recommended for a few weeks after
surgery but will not be a life-long requirement. - ANS-The nurse recognizes that teaching a
44-year-old woman following a laparoscopic cholecystectomy has been effective when the
patient states which of the following?
a. I can expect yellow-green drainage from the incision for a few days.
b. I can remove the bandages on my incisions tomorrow and take a shower.
c. I should plan to limit my activities and not return to work for 4 to 6 weeks.
d. I will always need to maintain a low-fat diet since I no longer have a gallbladder.
ANS: D
Postoperative nursing care after a cholecystectomy focuses on prevention of respiratory
complications because the surgical incision is high in the abdomen and impairs coughing and
deep breathing. The other nursing actions are also important to implement but are not as high a
priority as ensuring adequate ventilation. - ANS-A 51-year-old woman had an incisional
cholecystectomy 6 hours ago. The nurse will place the highest priority on assisting the patient to
a. choose low-fat foods from the menu.
b. perform leg exercises hourly while awake.
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