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A nurse is planning to complete an incisional dressing change for a client who is postoperative following an open cholecystectomy, in which of the following areas should the nurse expect to find the client's incision? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Answer and Explanation

The Correct Answer is "{\"xRanges\":[26.598316618911177,38.05963467048711],\"yRanges\":[63.14199395770393,75.22658610271904]}"

A. Right upper quadrant of the abdomen: An open cholecystectomy involves surgical removal of the gallbladder, which is located in the right upper quadrant beneath the liver. The incision is typically made just below the right rib cage, making area A the correct site for the dressing change.

B. Midline of the upper abdomen: This area corresponds to the epigastric region and would not align with the typical location for a gallbladder incision. Incisions here are more common for other abdominal surgeries, such as exploratory laparotomy.

C. Lower midline abdomen: This area is associated with procedures involving the lower gastrointestinal tract, such as appendectomy or hysterectomy, and is not consistent with a cholecystectomy incision.

D. Right lower quadrant: This region is typically related to surgeries involving the appendix, cecum, or right ovary, not the gallbladder. Selecting this area would not correspond to the correct postoperative site for a cholecystectomy.

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Correct Answer is D

Explanation

A. Social withdrawal: Social withdrawal is common in Alzheimer's disease and may indicate depression or disease progression. While important to address, it does not pose an immediate safety risk.

B. Inability to remember their partner’s name: Memory loss is a hallmark of Alzheimer's disease. Forgetting familiar names requires monitoring and supportive strategies but is not an urgent safety concern.

C. Difficulty articulating words: Language difficulties can affect communication and quality of life, but they do not immediately endanger the client. Interventions focus on speech therapy and alternative communication methods.

D. Wandering outside at night: Wandering exposes the client to hazards such as getting lost, traffic accidents, or injury, making it a priority safety concern. Immediate intervention is necessary to protect the client and prevent harm.

A. “I insert needles into meridian lines of my child's body to help with pain relief.” B. "I rub the edge of a coin lengthwise on my child's back when he is sick." C. “I sometimes place a bottle containing steam against my child's skin." D. "I apply petroleum jelly with garlic along my child's wrist to treat infectious disease."

Correct Answer is C

Explanation

A. “I insert needles into meridian lines of my child's body to help with pain relief.”: Inserting needles along meridian lines describes acupuncture, a traditional practice aimed at balancing energy flow. Acupuncture does not involve suction or heated containers placed on the skin.

B. "I rub the edge of a coin lengthwise on my child's back when he is sick.": Rubbing a coin on the back refers to coining, also known as gua sha, which is used to release illness or bad energy. Coining produces linear marks rather than circular suction marks.

C. “I sometimes place a bottle containing steam against my child's skin.": Placing a heated bottle or cup against the skin creates suction as the air cools, which is characteristic of cupping therapy. Cupping commonly leaves circular marks due to localized pressure and increased blood flow.

D. "I apply petroleum jelly with garlic along my child's wrist to treat infectious disease.": Applying garlic with petroleum jelly reflects a topical folk remedy. This specific practice is not formally categorized as cupping or acupuncture

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from the family members of a client who has Alzheimer's disease. Which of the following findings should the nurse identify is the priority and requires immediate intervention?

Correct Answer is D

Explanation

A nurse is discussing health practices with the mother of a toddler who is from a different cultural background than the nurse. Which of the following statements by the mother indicates that she practices cupping?

Correct Answer is C

Explanation

A nurse is reinforcing dietary teaching with a client who is at 12 weeks of gestation. Which of the following statements should the nurse make?

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