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.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: Epigastric pain during swallowing can occur in esophageal cancer but is not the most common or specific symptom. It could be related to other conditions such as gastroesophageal reflux disease (GERD) or peptic ulcers.
Choice B reason: Regurgitation can be a symptom but is more commonly associated with GERD or other less serious esophageal conditions rather than being a primary indication of esophageal cancer.
Choice C reason: Progressive dysphagia, or difficulty swallowing that worsens over time, is the most common and specific symptom of esophageal cancer. It occurs as the tumor grows and gradually obstructs the esophagus, making swallowing increasingly difficult.
Choice D reason: Weight loss can occur in esophageal cancer but is not as specific as progressive dysphagia. It may be a secondary symptom resulting from difficulty swallowing and reduced food intake.
Correct Answer is C
Explanation
Choice A reason: A one-year interval for colonoscopy is not recommended for average-risk individuals. Annual testing is more suited for high-risk patients or for other forms of screening, such as the fecal occult blood test (FOBT).
Choice B reason: A two-year interval is also not the recommended schedule for colonoscopy screenings in average-risk adults.
Choice C reason: The American Cancer Society recommends a colonoscopy every ten years for adults at average risk starting at age 50. This interval balances effectiveness in detecting cancer with the risks and costs associated with the procedure.
Choice D reason: A five-year interval may apply to other forms of screening, such as sigmoidoscopy, but is not the standard recommendation for a full colonoscopy in average-risk individuals.
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