NSG 123 Medical Surgical Nursing Exam 2
questions with answers
Main Cause of Cholelithiasis - ....🔰VERIFIED ANSWERS.... ✔✔Cholesterol
stones account for most of the remaining 75% of cases of gallbladder disease in
the United States.
Symptoms of Cholelithias - ....🔰VERIFIED ANSWERS.... ✔✔Nausea
Vomiting
Right upper quadrant abdominal pain or epigastric pain that radiates to the
right shoulder especially after meals when the gallbladder is stimulated to
release bile.
Patient Teaching for Cholelithiasis - ....🔰VERIFIED ANSWERS.... ✔✔The
diet immediately after an episode is usually low-fat liquids. These can include
powdered supplements high in protein and carbohydrate stirred into skim
milk.
Purpose of Medication in Cholelithiasis - ....🔰VERIFIED ANSWERS....
✔✔Purpose of Medications: reduces hepatic production of cholesterol.
Lowers the cholesterol content of bile, which in turn facilitates the gradual
dissolution of cholesterol gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a naturally occurring bile acid .
,Purpose of Adding Fat to Emulsion to TPN - ....🔰VERIFIED ANSWERS....
✔✔Fat emulsions (lipids) are usually given to clients receiving TPN to provide
supplemental kilocalories and prevent fatty acid
Fat emulsions can also control hyperglycemia during periods of stress.
Carbon Dioxide in Laparoscopic Cholecystectomy - ....🔰VERIFIED
ANSWERS.... ✔✔Carbon dioxide is used during the procedure
Explain to the patient that they might feel pain in the right shoulder or
scapular area (from migration of the carbon dioxide used to insufflate the
abdominal cavity during the procedure).
Laparoscopic Colecystectomy 3 Things to do After - ....🔰VERIFIED
ANSWERS.... ✔✔Recommend a heating pad for 15 to 20 minutes hourly or
Encourage the client to ambulate frequently to reduce the bloating.
Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy - ....🔰VERIFIED
ANSWERS.... ✔✔Priority assessment should focus on the client's respiratory
status.
If a traditional surgical approach is planned, the high abdominal incision
required during surgery may interfere with full respiratory excursion.
The nurse notes a history of smoking, previous respiratory problems, shallow
respirations, a persistent or ineffective cough, and the presence of adventitious
breath sounds.
CBC and BMP should also be assessed
, 4 Postoperative Complications of Cholecystostomy - ....🔰VERIFIED
ANSWERS.... ✔✔After these surgical procedures, the client is observed for
indications of infection, leakage of bile into the peritoneal cavity, and
obstruction of bile drainage.
If bile is not draining properly, an obstruction is probably causing bile to be
forced back into the liver and bloodstream.
Because jaundice may result, the nurse should assess the color of the sclerae.
Yellow-colored sclerae or skin can indicate jaundice.
Clay-colored stool should be reported as this indicates a complication.
Discharge Teaching for Open Cholecystectomy - ....🔰VERIFIED ANSWERS....
✔✔Usually, only a small amount of serosanguineous fluid drains in the initial
24 hours after surgery; afterward, the drain is removed.
The drain is typically maintained if there is excess oozing or bile leakage.
Empty the drainage bag attached at least every 8 hours and as needed, to
prevent reflux back into the bile duct.
Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and
frequenct diarrhea? - ....🔰VERIFIED ANSWERS.... ✔✔Crohn's disease
The disease characterized by blood sools and left lower quadrent pain - ....🔰
VERIFIED ANSWERS.... ✔✔Ulcerative Colitis
What GI disease would be best diagnosed with colonoscopy? - ....🔰VERIFIED
ANSWERS.... ✔✔Ulcerative Colitis
questions with answers
Main Cause of Cholelithiasis - ....🔰VERIFIED ANSWERS.... ✔✔Cholesterol
stones account for most of the remaining 75% of cases of gallbladder disease in
the United States.
Symptoms of Cholelithias - ....🔰VERIFIED ANSWERS.... ✔✔Nausea
Vomiting
Right upper quadrant abdominal pain or epigastric pain that radiates to the
right shoulder especially after meals when the gallbladder is stimulated to
release bile.
Patient Teaching for Cholelithiasis - ....🔰VERIFIED ANSWERS.... ✔✔The
diet immediately after an episode is usually low-fat liquids. These can include
powdered supplements high in protein and carbohydrate stirred into skim
milk.
Purpose of Medication in Cholelithiasis - ....🔰VERIFIED ANSWERS....
✔✔Purpose of Medications: reduces hepatic production of cholesterol.
Lowers the cholesterol content of bile, which in turn facilitates the gradual
dissolution of cholesterol gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a naturally occurring bile acid .
,Purpose of Adding Fat to Emulsion to TPN - ....🔰VERIFIED ANSWERS....
✔✔Fat emulsions (lipids) are usually given to clients receiving TPN to provide
supplemental kilocalories and prevent fatty acid
Fat emulsions can also control hyperglycemia during periods of stress.
Carbon Dioxide in Laparoscopic Cholecystectomy - ....🔰VERIFIED
ANSWERS.... ✔✔Carbon dioxide is used during the procedure
Explain to the patient that they might feel pain in the right shoulder or
scapular area (from migration of the carbon dioxide used to insufflate the
abdominal cavity during the procedure).
Laparoscopic Colecystectomy 3 Things to do After - ....🔰VERIFIED
ANSWERS.... ✔✔Recommend a heating pad for 15 to 20 minutes hourly or
Encourage the client to ambulate frequently to reduce the bloating.
Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy - ....🔰VERIFIED
ANSWERS.... ✔✔Priority assessment should focus on the client's respiratory
status.
If a traditional surgical approach is planned, the high abdominal incision
required during surgery may interfere with full respiratory excursion.
The nurse notes a history of smoking, previous respiratory problems, shallow
respirations, a persistent or ineffective cough, and the presence of adventitious
breath sounds.
CBC and BMP should also be assessed
, 4 Postoperative Complications of Cholecystostomy - ....🔰VERIFIED
ANSWERS.... ✔✔After these surgical procedures, the client is observed for
indications of infection, leakage of bile into the peritoneal cavity, and
obstruction of bile drainage.
If bile is not draining properly, an obstruction is probably causing bile to be
forced back into the liver and bloodstream.
Because jaundice may result, the nurse should assess the color of the sclerae.
Yellow-colored sclerae or skin can indicate jaundice.
Clay-colored stool should be reported as this indicates a complication.
Discharge Teaching for Open Cholecystectomy - ....🔰VERIFIED ANSWERS....
✔✔Usually, only a small amount of serosanguineous fluid drains in the initial
24 hours after surgery; afterward, the drain is removed.
The drain is typically maintained if there is excess oozing or bile leakage.
Empty the drainage bag attached at least every 8 hours and as needed, to
prevent reflux back into the bile duct.
Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and
frequenct diarrhea? - ....🔰VERIFIED ANSWERS.... ✔✔Crohn's disease
The disease characterized by blood sools and left lower quadrent pain - ....🔰
VERIFIED ANSWERS.... ✔✔Ulcerative Colitis
What GI disease would be best diagnosed with colonoscopy? - ....🔰VERIFIED
ANSWERS.... ✔✔Ulcerative Colitis
