A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?
Remove the abdominal dressings on the day of surgery.
Encourage ambulation on the day of surgery.
Place the client in a supine position postoperatively.
Offer the client ice cream postoperatively.
The Correct Answer is B
A. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Bleeding: The client's platelet count has dropped from 160,000/mm³ to 100,000/mm³, which is below the normal range (150,000 to 400,000/mm³). Platelets are essential for blood clotting, and a low count increases the risk of bleeding. Additionally, the prolonged PT (13.5 seconds) and elevated INR (2.2) further indicate a tendency toward bleeding.
Infection: The client's WBC count remains elevated at 15,500/mm³, which can be indicative of ongoing infection or inflammation. Patients with acute leukemia often have dysfunctional white blood cells, which impairs their ability to fight infections effectively.
Correct Answer is ["A","B","D"]
Explanation
A. Hodgkin's disease is characterized by the presence of Reed-Sternberg cells, which are large, abnormal lymphocytes.
B. Enlarged, painless lymph nodes, particularly in the neck, armpits, or groin, are characteristic of Hodgkin's disease.
C. Skeletal pain is not a typical symptom of Hodgkin's disease. Patients may experience generalized symptoms such as fatigue, fever, and weight loss.
D. Hodgkin's disease has a relatively high cure rate, especially in comparison to other types of lymphomas. Advances in treatment have improved outcomes for many patients with Hodgkin's disease.
E. Philadelphia chromosome is associated with chronic myeloid leukemia, not Hodgkin's disease.
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