Nokea
Which will the nurse point out as a significant advantage of the laparoscopic cholecystectomy?
- A. Slightly more invasive, but there is less pain
- B. Can be performed on all patients of any age
- C. Can be performed even when there are large stones present in the bile duct
- D. Less invasive procedure
Correct Answer: D
Rationale: The laparoscopic cholecystectomy is less invasive and causes less pain and a quick recovery. If there are large stones present, a sphincterotomy is done before the laparoscopic cholecystectomy. Persons with bleeding tendencies, pathologic conditions of the abdomen, stones in the bile duct, and extensive adhesions are not good candidates.
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What is the challenge in encouraging coughing and deep breathing for a postoperative patient who had an open cholecystectomy?
- A. High placement of incision
- B. Excessive nausea
- C. Weakened abdominal muscles
- D. Poor oxygenation
Correct Answer: A
Rationale: The high placement of the incision of the cholecystectomy makes the patient reluctant to cough. Splinting the incision is beneficial.
Which is the most appropriate method used by high-risk health workers to prevent hepatitis B?
- A. Hepatitis B vaccine
- B. Diligent hand washing
- C. Wearing protective gear
- D. Hb immune globulin injections
Correct Answer: A
Rationale: The best preventive measure against the contraction of hepatitis B is HBV vaccine.
Dietary teaching for a patient who is treated conservatively for cholecystitis is necessary to keep the patient comfortable. Which food should be avoided?
- A. Peanut butter
- B. Grilled chicken
- C. Rice and pasta
- D. Bananas, apples, oranges
- E. Whole milk
- F. Glazed chocolate doughnuts
Correct Answer: A,E,F
Rationale: Peanut butter, nuts, chocolate, whole milk, fried foods, and cream and other fatty foods should be avoided.
The nurse is aware that the hepatitis A immunization provides immunity in:
- A. 5 days.
- B. 10 days.
- C. 15 days.
- D. 30 days.
Correct Answer: D
Rationale: Primary immunization with hepatitis A vaccine provides immunity within 30 days.
A patient with pancreatitis is on nothing by mouth status (NPO). The patient asks the nurse 'Why am I unable to have anything by mouth?'. Which is the best response?
- A. Diagnostic tests depend on you not eating anything.'
- B. The pancreas is stimulated whenever you eat or drink and causes pain.'
- C. Eating causes the need for a bowel movement, which excretes your medication too rapidly.'
- D. Resting your gastrointestinal tract will cure your pancreatitis.'
Correct Answer: B
Rationale: Food and fluids are withheld to avoid stimulating pancreatic activity, and IV fluids are administered.