Type mcsa a patient is scheduled to undergo a

Question 14
Type: MCSA
A patient is scheduled to undergo a laparoscopic gynecologic procedure. Which statement by the patient indicates
to the nurse a need for further education about the procedure?
1. “I can expect to go home a few hours after the procedure.”
2. “I might experience some abdominal pain after the procedure.”
3. “Walking may help reduce my postprocedure pain.”
4. “I should report shoulder pain, as it might signal a complication.”
Correct Answer:
Rationale 1 : Laparoscopic procedures are often completed on an outpatient basis unless complications arise.
Rationale 2 : Abdominal pain will be present due to the invasiveness of the surgical procedure.
Rationale 3 : The greatest amount of postprocedure pain is often associated with the carbon dioxide gas instilled
into the abdomen. Walking helps to dissipate this gas.
Rationale 4 : The presence of shoulder pain is anticipated after laparoscopic procedures. The discomfort is a result
of the carbon dioxide injected into the abdominal cavity to promote visualization during the procedure.
4
Global Rationale:
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 41-4
Question 15
Type: MCMA
A patient is preparing to be discharged to home after a total hysterectomy. Which statements by the patient
indicate to the nurse that the teaching session has been successful?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Global Rationale:
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 41-4