Exam (elaborations)
NSG 123 Medical Surgical Nursing Exam 2 Questions with 100% Correct Answers | Verified | Latest Update
Course
NSG 123 Medical Surgical Nursing
Institution
NSG 123 Medical Surgical Nursing
NSG 123 Medical Surgical Nursing Exam 2 Questions with 100% Correct Answers | Verified | Latest Update
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symptoms of cholelithias
nsg 123 medical surgical nursing exam 2 questions
main cause of cholelithiasis
patient teaching for cholelithiasis
purpose of medication in cholelithiasis
Institution
NSG 123 Medical Surgical Nursing
Course
NSG 123 Medical Surgical Nursing
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NSG 123 Medical Surgical Nursing Exam
2 Questions with 100% Correct Answers
| Verified | Latest Update
MainiCauseiofiCholelithiasisi-iCorrectiAnswer-
Cholesterolistonesiaccountiforimostiofitheiremainingi75%ioficasesiofigall
bladderidiseaseiinitheiUnitediStates.
SymptomsiofiCholelithiasi-iCorrectiAnswer-Nausea
Vomiting
Rightiupperiquadrantiabdominalipainioriepigastricipainithatiradiatesitoit
heirightishoulderiespeciallyiafterimealsiwhenitheigallbladderiisistimulat
editoireleaseibile.
PatientiTeachingiforiCholelithiasisi-iCorrectiAnswer-
Theidietiimmediatelyiafterianiepisodeiisiusuallyilow-
fatiliquids.iTheseicaniincludeipowderedisupplementsihighiiniproteiniandi
carbohydrateistirrediintoiskimimilk.
PurposeiofiMedicationiiniCholelithiasisi-iCorrectiAnswer-
PurposeiofiMedications:ireducesihepaticiproductionioficholesterol.
Lowersitheicholesterolicontentiofibile,iwhichiiniturnifacilitatesitheigradu
alidissolutionioficholesteroligallstones.
,Examplesi:iChenodioli(Chenodal,iChenix)iisiainaturallyioccurringibileiacid
i.
PurposeiofiAddingiFatitoiEmulsionitoiTPNi-iCorrectiAnswer-
Fatiemulsionsi(lipids)iareiusuallyigivenitoiclientsireceivingiTPNitoiprovid
eisupplementalikilocaloriesiandipreventifattyiacid
Fatiemulsionsicanialsoicontrolihyperglycemiaiduringiperiodsiofistress.
CarboniDioxideiiniLaparoscopiciCholecystectomyi-iCorrectiAnswer-
Carbonidioxideiisiusediduringitheiprocedure
Explainitoitheipatientithatitheyimightifeelipainiinitheirightishoulderiorisc
apulariareai(fromimigrationiofitheicarbonidioxideiuseditoiinsufflateitheia
bdominalicavityiduringitheiprocedure).
LaparoscopiciColecystectomyi3iThingsitoidoiAfteri-iCorrectiAnswer-
Recommendiaiheatingipadifori15itoi20iminutesihourlyior
Encourageitheiclientitoiambulateifrequentlyitoireduceitheibloating.
Manageinauseaiassessibowelisoundsiforifurthericomplications.
PreoperativeiAssessmentiforiOpeniCholecystectomyi-iCorrectiAnswer-
Priorityiassessmentishouldifocusionitheiclient'sirespiratoryistatus.
Ifiaitraditionalisurgicaliapproachiisiplanned,itheihighiabdominaliincisioni
requirediduringisurgeryimayiinterfereiwithifullirespiratoryiexcursion.
,Theinurseinotesiaihistoryiofismoking,ipreviousirespiratoryiproblems,isha
llowirespirations,iaipersistentioriineffectiveicough,ianditheipresenceiofia
dventitiousibreathisounds.
CBCiandiBMPishouldialsoibeiassessed
4iPostoperativeiComplicationsiofiCholecystostomyi-iCorrectiAnswer-
Afteritheseisurgicaliprocedures,itheiclientiisiobservediforiindicationsiofii
nfection,ileakageiofibileiintoitheiperitonealicavity,iandiobstructioniofibil
eidrainage.
Ifibileiisinotidrainingiproperly,ianiobstructioniisiprobablyicausingibileitoib
eiforcedibackiintoitheiliveriandibloodstream.
Becauseijaundiceimayiresult,itheinurseishouldiassessitheicoloriofitheiscle
rae.iYellow-colorediscleraeioriskinicaniindicateijaundice.
Clay-coloredistoolishouldibeireportediasithisiindicatesiaicomplication.
DischargeiTeachingiforiOpeniCholecystectomyi-iCorrectiAnswer-
Usually,ionlyiaismalliamountiofiserosanguineousifluididrainsiinitheiinitial
i24ihoursiafterisurgery;iafterward,itheidrainiisiremoved.
Theidrainiisitypicallyimaintainediifithereiisiexcessioozingioribileileakage.
Emptyitheidrainageibagiattachediatileastieveryi8ihoursiandiasineeded,ito
ipreventirefluxibackiintoitheibileiduct.
Takeishowersinotibathsitoipreventiinfectioniofitheiincisionisite.
Whatidiseaseiisicharacterizedibyipossibleimalnourishmenti(anemic)iandi
frequenctidiarrhea?i-iCorrectiAnswer-Crohn'sidisease
, Theidiseaseicharacterizedibyibloodisoolsiandileftiloweriquadrentipaini-
iCorrectiAnswer-UlcerativeiColitis
WhatiGIidiseaseiwouldibeibestidiagnosediwithicolonoscopy?i-
iCorrectiAnswer-UlcerativeiColitis
Whatitestingiwouldiyouiexpectitoiseeifromiaipatientirecievingiparentera
linutrition?i-iCorrectiAnswer-BloodiGlucose
WhatitimeiofidayishouldiFamotidinei(pepcid)ibeiadministered?i-
iCorrectiAnswer-Beditime
Whatiisianiintragastriciballooniusedifor?i-iCorrectiAnswer-Non-
invasiveiweightiloss
TheinurseineedsitoicheckiMg++ibeforeiadministrationiofiwhatidrug?i-
iCorrectiAnswer-Magnesiumihydroxide/aluminumihydrateiMAALOX
Whichiweightilossidrugirequirresiaifatisolubleivitaminisupplement?i-
iCorrectiAnswer-Orlistati(XENICAL)
Whatidoiyouigiveitoitreatitravelersidiarrhea?i-iCorrectiAnswer-
BismuthiSalts-peptoibismol