Cholecystectomy Nursing Guide
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Questions and Answers

What is a common sign that may indicate rupture of the gallbladder?

  • Rising blood pressure
  • Rising abdominal tenderness (correct)
  • Increased appetite
  • Decreased heart rate
  • Why should oral food and fluids be withheld during acute pain episodes in cholelithiasis?

  • To enhance bile production
  • To reduce gallbladder contractions (correct)
  • To promote gastric emptying
  • To prevent dehydration
  • Which positioning may help decrease pressure on an inflamed gallbladder?

  • Fowler position (correct)
  • Trendelenburg position
  • Supine position
  • Lateral position
  • When monitoring a postoperative patient following an open cholecystectomy, what vital sign changes should be promptly reported?

    <p>Increased respiratory rate</p> Signup and view all the answers

    What is an appropriate nursing intervention for managing moderate to severe pain after cholecystectomy?

    <p>Administering opioid analgesics as prescribed</p> Signup and view all the answers

    How often should the nurse assess the abdomen after a cholecystectomy?

    <p>Every 4 hours</p> Signup and view all the answers

    What complication can arise from an acutely inflamed gallbladder that becomes necrotic?

    <p>Peritonitis</p> Signup and view all the answers

    What nursing intervention can assist with preventing pulmonary infection after an open cholecystectomy?

    <p>Using an incentive spirometer</p> Signup and view all the answers

    What is the primary concern identified related to the condition of the patient?

    <p>Risk for infection</p> Signup and view all the answers

    Which dietary change is essential for Ms. Colbert after her surgery?

    <p>Decrease intake of high-fat foods</p> Signup and view all the answers

    Which symptom is NOT present in Ms. Colbert according to the evaluation?

    <p>Signs of infection</p> Signup and view all the answers

    What aspect of patient education is crucial for Ms. Colbert following her surgery?

    <p>Signs of infection recognition</p> Signup and view all the answers

    What will be a key goal of the nursing care plan regarding pain management for Ms. Colbert?

    <p>Adequate pain control after surgery</p> Signup and view all the answers

    What might contribute to Ms. Colbert's feeling of anxiety before surgery?

    <p>Lack of knowledge about the procedure</p> Signup and view all the answers

    How does mobility post-surgery impact Ms. Colbert's recovery?

    <p>Reduces risk of complications</p> Signup and view all the answers

    Which of the following statements reflects Ms. Colbert's experience after surgery?

    <p>It wasn’t as bad as I thought it would be.</p> Signup and view all the answers

    What is the primary purpose of positioning the patient in Fowler position after surgery?

    <p>To enhance lung expansion and airway clearance.</p> Signup and view all the answers

    What should be monitored in the drainage from the T-tube?

    <p>The color and consistency.</p> Signup and view all the answers

    What indicates that T-tube drainage is excessive after 48 hours?

    <p>More than 500 mL.</p> Signup and view all the answers

    Which vitamin supplements might patients with gallbladder disease need postoperatively?

    <p>Fat-soluble vitamins.</p> Signup and view all the answers

    What dietary change is recommended for a patient experiencing gallbladder disease?

    <p>Low-carbohydrate, low-fat, high-protein diet.</p> Signup and view all the answers

    Which assessment finding may indicate poor nutritional status in a patient with gallbladder disease?

    <p>Low serum albumin.</p> Signup and view all the answers

    When should a nurse report early signs of infection in a post-surgical patient?

    <p>When vital signs show elevated temperature and increased pain.</p> Signup and view all the answers

    What is a potential complication of bile drainage from the T-tube?

    <p>Bile leakage irritating the skin.</p> Signup and view all the answers

    What should be avoided when managing the T-tube during patient activities?

    <p>Direct pulling or traction.</p> Signup and view all the answers

    Which food choice would likely worsen gallbladder symptoms?

    <p>Fried foods.</p> Signup and view all the answers

    What should the nurse focus on when evaluating a patient's progress post-surgery?

    <p>The dietary habits and pain management.</p> Signup and view all the answers

    Why is it important to clamp the T-tube properly?

    <p>To prevent backflow of bile.</p> Signup and view all the answers

    Which of the following is a sign that the patient may require dietary counseling?

    <p>Frequent episodes of pain after meals.</p> Signup and view all the answers

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