Type mcsa a patient is scheduled for a laparoscopic

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Question 27Type: MCSAA patient is scheduled for a laparoscopic cholecystectomy. The health care provider has indicated that there is a chance that the procedure may need to be done as an open cholecystectomy. The nurse knows that if the patient has an open procedure, what is more likely?1. The patient may have an increase in bowel movements.
2. The patient may notice more fatty food intolerance.3. The patient may experience faster recovery.4. The patient may have a T-tube that will allow drainage of bile.Correct Answer: Rationale 1: There should be no increase in bowel movements.Rationale 2: There is no more fatty food intolerance with one type of procedure over another.Rationale 3: The recovery time is actually longer with an open procedure.Rationale 4: An open cholecystectomy may require insertion of a T-tube if the common bile duct is explored.
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Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 38-6Question 28Type: MCSAA patient admitted with acute pancreatitis has a nasogastric tube, is in pain, and is on bed rest. The patient says, "I don't understand why I can't eat." How should the nurse respond?
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Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 38-9

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