After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?
Infection
Binding
Bowel obstruction
Dehydration
The Correct Answer is A
Choice A reason: Infection is a common immediate complication after any surgical procedure, including cholecystectomy. The nurse should monitor for signs of infection, such as fever, redness, swelling, or discharge at the surgical site, to ensure prompt intervention and treatment.
Choice B reason: The term "binding" is unclear and not typically used to describe a specific postoperative complication. This choice may be referring to issues such as adhesions or scar tissue, but these are not immediate concerns.
Choice C reason: Bowel obstruction can occur after abdominal surgery, but it is not the most immediate concern following cholecystectomy. It may develop later as a complication but is not the primary focus in the immediate postoperative period.
Choice D reason: Dehydration can be a concern if the patient is not taking in adequate fluids postoperatively, but it is not as immediate a concern as monitoring for infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Wearing an external collection bag is typically associated with other types of urinary diversions, such as an ileal conduit, not a neobladder.
Choice B reason: A neobladder involves the creation of an internal pouch from a segment of the intestine that stores urine and allows for more natural urination, similar to the function of a natural bladder. This option provides the ability to void through the urethra.
Choice C reason: While some initial incontinence can occur after neobladder surgery, the goal is to eventually have voluntary control over urination with time and practice.
Choice D reason: Having a stoma located in the abdomen is characteristic of an ileal conduit or urostomy, not a neobladder. The neobladder is designed to avoid the need for an external stoma.
Correct Answer is A
Explanation
Choice A reason: Cheddar cheese is high in fat, which can trigger pancreatitis flare-ups. People with pancreatitis are generally advised to follow a low-fat diet to avoid exacerbating their condition. Consuming high-fat foods like cheddar cheese can stimulate the pancreas to produce more digestive enzymes, which can lead to increased inflammation and pain.
Choice B reason: Vegetable soup, especially if it is broth-based and low in fat, is generally safe for individuals with pancreatitis. It provides essential nutrients without putting too much strain on the pancreas. However, it is essential to ensure that the soup does not contain any high-fat ingredients, such as cream or butter, which can aggravate the condition.
Choice C reason: Baked fish is typically a good choice for individuals with pancreatitis because it is low in fat and high in protein. The preparation method also matters; baking is a healthy cooking method that does not add extra fat to the dish. As long as the fish is not fried or cooked with high-fat sauces, it should be safe to consume.
Choice D reason: Noodles, particularly those made from refined flour, are generally low in fat and can be included in a pancreatitis-friendly diet. However, the overall meal should be balanced and low in fat to avoid triggering symptoms. Whole grain noodles might be a better option as they provide more fiber and nutrients.
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