A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?
"The pain occurs as a residual pain from cholecystitis."
"The pain results from lying in one position too long during surgery."
"The pain is caused from the nitrous dioxide injected into the abdomen."
"The pain will dissipate if you ambulate frequently."
The Correct Answer is D
A. Postoperative pain typically resolves after a laparoscopic cholecystectomy since the surgery removes the gallbladder
B. While positioning during surgery can cause discomfort, isolated right shoulder pain is more commonly attributed to the diaphragmatic irritation from residual nitrous oxide in the abdomen.
C. Nitrous dioxide used during laparoscopic procedures is not associated with referred pain to the right shoulder. The pain is due to carbon dioxide gas used during the procedure resulting in the irritation of the diaphragm.
D. This pain is often due to the carbon dioxide used to inflate the abdomen during surgery, which can irritate the diaphragm and refer pain to the shoulder. Ambulation helps to absorb the gas more quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Using a systematic method for analyzing ECG tracings helps ensure that abnormalities are not overlooked, promoting accurate interpretation and diagnosis. This approach reduces the risk of diagnostic errors and ensures thorough assessment of cardiac rhythm and conduction abnormalities.
B. While using a systematic method may aid memory, its primary purpose is to ensure thoroughness and accuracy in ECG interpretation, rather than solely enhancing memory retention.
C. Indeed, using a systematic method establishes a routine for analyzing ECG tracings, aiding in consistent and comprehensive assessment, which is crucial for detecting subtle changes and abnormalities.
D. While using a systematic method may ultimately save time by preventing errors and ensuring efficiency, its primary purpose is accuracy rather than speed. The focus is on comprehensive analysis rather than expediency.
Correct Answer is D
Explanation
A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.