A client is scheduled for a laparoscopic cholecystectomy. The health care provider has indicated that there is a chance that the procedure may need to be done as an open cholecystectomy

The nurse knows that if the client has an open procedure, which of the following is more likely? 1. The client may have a T Tube that will allow drainage of bile.
2. The client may have an increase in bowel movements.
3. The client may experience faster recovery.
4. The client may notice more fatty food intolerance.


The client may have a T Tube that will allow drainage of bile.

Rationale: An open cholecystectomy may require a T Tube inserted if the common bile duct is explored. There should be no increase in bowel movements. The recovery time is actually longer with an open procedure. There is no more fatty food intolerance with one type of procedure over another.

Nursing

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The provider has told the client that she must reduce the amount of stress in her life because it is having a negative effect on her heart. When the provider leaves the room, the client asks the nurse why stress would affect her heart

The nurse best responds by explaining: 1. "Stress causes a release of chemicals that cause blood vessels to narrow and heart rate to increase." 2. "Doctors always think women's problems are caused by stress." 3. "Stress raises blood pressure, which puts you at increased risk of heart disease." 4. "Stress causes the release of chemicals that destroy the kidney, and this impacts the heart."

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A maternal indication for the use of vacuum extraction is

a. A wide pelvic outlet b. Maternal exhaustion c. A history of rapid deliveries d. Failure to progress past 0 station

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A patient being treated for a traumatic brain injury is demonstrating signs of contractures as a complication associated with immobility. Which nursing intervention is indicated?

1. Maintain neutral body position. 2. Turn and reposition every 4 hours. 3. Apply antiembolism stockings. 4. Ensure oxygen saturation level of 92%.

Nursing

A nurse caring for a patient wonders how the patient's functioning has been evaluated in the past. To learn this, the nurse would look in the medical record on the DSM-IV-TR Axis:

a. I. b. II. c. IV. d. V.

Nursing