Teach the client to report indications of bile leak (pain, vomiting, abdominal distention) to the provider.Teach the client to resume activity gradually and as tolerated, and to resume the preoperative dietSystem Specific Assessments (3 items)Noninflammatory Bowel Disorders: Assessing a Client for Inguinal Hernia (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 51)Noninflammatory bowel disorders can cause pain, changes in pattern, bleeding, and malabsorption. This group of disorders includes hemorrhoids, cancer, hernia, IBS and intestinal obstruction. A bowel hernia is the displacement of the bowel through a weakness of the abdominal muscle into other areas of the abdominal cavity. Incisional hernias can occur as a postsurgical complication due to inadequate healing of the incisional site from malnutrition, infection, or obesity.In a hernia that is strangulated, blood supply is cut off to a portion of the bowel, increasing the risk for obstruction, necrosis, and perforation. In males and indirect inguinal hernia can be large and descend into the scrotum. Therapeutic Procedures (8 items)Cancer Disorders: Caring for a Client Who Is Postoperative Following a Mastectomy (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 92)Surgical procedures include lumpectomy (breast-conserving), wide excision or partial mastectomy, total mastectomy, modified radical mastectomy (lymph nodes removed), radical mastectomy (lymph nodes and muscle removed), and reconstructive surgery.Have the client sit with the head of the bed elevated 30 degrees when awake and support her arm on a pillow. Lying on the unaffected side can relieve pain. Avoid administering injections, taking bp, or obtaining blood from the clients affected arm. Place a sign above the clients’ bed regarding these precautions. Cancer Disorders: Teaching About Ureterostomy (RN QSEN - Patient-centered Care, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 92)Colon resection, involves the removal of a portion of the colon to excise the tumor. Colectomy is the removal of the colon with a temporary or permanent colostomy or ileostomy.