c30.pdf - MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE...

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Chapter 30: Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition MULTIPLE CHOICE 1. The nurse is providing discharge teaching for a patient who underwent a laparoscopic cholecystectomy. Which statement indicates that the nurse’s teaching has been successful? a. “I should call my doctor if I have any pain.” b. “I should be able to go back to work tomorrow.” c. “I should avoid fatty foods for a few weeks.” d. “I should let these Steri - Strips fall off on their own.” ANS: D The nurse should teach the patient to remove the bandages from the puncture site(s) the day after surgery and shower, leaving the Steri-Strips intact. Steri-Strips will fall off in 7 to10 days. The patient should notify the physician in cases of severe abdominal pain that is not relieved by medication or is worsening. Return to work is probable at 1 week postsurgery. The patient should adhere to a low-fat diet for several weeks and slowly introduce fattier foods to determine if they cause unpleasant symptoms. MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
PTS: 1 DIF: Cognitive Level: Application REF: 696 OBJ: 2 TOP: Cholecystitis: Signs and Symptoms KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 3. The nurse is caring for a patient with cholelithiasis who is scheduled to undergo a cholescintigraphy (HIDA scan). Which statement accurately describes the purpose of the HIDA scan?
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NURSINGTB.COM PTS: 1 DIF: Cognitive Level: Application REF: 696 OBJ: 11 TOP: Cholecystectomy: PostOp Teaching KEY: Nursing Process Step: Evaluation MSC: NCLEX: Health Promotion and Maintenance 2. The nurse is caring for a patient who presents to the emergency department with severe nausea and vomiting with stomach pain that radiates to his right scapula. The patient has a temperature of 101.2° F. The nurse anticipates that this patient will undergo workup for which problem?
NURSINGTB.COM d. To assess composition of gallstones ANS: C The HIDA scan can diagnose abnormal contractions of the gallbladder, which occur in the presence of gallstones or a gallbladder that is not functioning properly.

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