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 (D)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Peritonitis (C)</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 (A)</p> Signup and view all the answers

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

<p>Risk for infection (D)</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 (C)</p> Signup and view all the answers

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

<p>Signs of infection (A), Jaundice (B), Increased appetite (C), Chills (D)</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 (D)</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 (D)</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 (A)</p> Signup and view all the answers

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

<p>Reduces risk of complications (A)</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. (B)</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. (B)</p> Signup and view all the answers

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

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

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

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

Which vitamin supplements might patients with gallbladder disease need postoperatively?

<p>Fat-soluble vitamins. (B)</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. (C)</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. (A)</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. (B)</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. (D)</p> Signup and view all the answers

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

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

Which food choice would likely worsen gallbladder symptoms?

<p>Fried foods. (D)</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. (B)</p> Signup and view all the answers

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

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