After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

Infection

Binding

Bowel obstruction

Dehydration

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Magnesium levels are not typically elevated in acute pancreatitis. Abnormalities in magnesium levels are more often related to other conditions such as kidney disease.
Choice B reason: Calcium levels are often decreased, not elevated, in acute pancreatitis due to fat necrosis binding calcium.
Choice C reason: Amylase levels are typically elevated in acute pancreatitis because the pancreas releases this enzyme during inflammation. Elevated amylase is a key diagnostic marker for pancreatitis.
Choice D reason: RBC count is not typically elevated in acute pancreatitis. Changes in RBC count are more indicative of other conditions like anemia or dehydration.

A. Mr. Smith, who has multiple sclerosis, has been managing his urinary retention with intermittent catheterization for several years. He has been depressed lately after losing his job and admitted at his last visit to having thoughts of self-harm. He left a message saying he had chills, fatigue, and an oral temperature of 103°F. B. Ms. Jones, who has had urinary frequency and urgency for many years, started on Ditropan at her last office visit. She left a message saying her urinary frequency has improved, but her mouth was very dry. C. Mr. Jones, a new patient expressing concerns over embarrassing symptoms of incontinence. D. Ms. Smith, who is 18 years old, called to cancel her afternoon appointment for her initial incontinence evaluation. Her message said her symptoms weren't that bad and she would call to reschedule.

Correct Answer is A

Explanation

Choice A reason: Mr. Smith requires immediate attention due to his multiple sclerosis and severe symptoms of chills, fatigue, and a high fever (103°F). These symptoms could indicate a severe infection such as a urinary tract infection (UTI) or even sepsis, which can be life-threatening, especially in individuals with a compromised immune system or chronic conditions like multiple sclerosis.
Choice B reason: Ms. Jones's dry mouth is a common side effect of Ditropan (oxybutynin), which is used to treat urinary frequency and urgency. While it is uncomfortable, it is not an emergency and can be addressed at the next visit or over a phone consultation.
Choice C reason: Mr. Jones, being a new patient with incontinence concerns, does not present an immediate emergency. This issue, while significant for his quality of life, can be managed through a scheduled appointment.
Choice D reason: Ms. Smith's decision to cancel her appointment due to her symptoms not being severe does not require immediate attention. She can be rescheduled for a later date without risk to her health.

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After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. Which of the following values should the nurse expect to be elevated?

Correct Answer is C

Explanation

You are working in a urologist's office. When you return from lunch, you have the following phone messages. Which one requires immediate attention?

Correct Answer is A

Explanation

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After a patient has undergone cholecystectomy, for which immediate complication would the nurse monitor?

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