NSG 123 Medical Surgical
Nursing Exam 2 2026 Exam
Questions and Answers | A+
Score Assured
Main Cause of Cholelithiasis - 🧠 ANSWER ✔✔Cholesterol stones account
for most of the remaining 75% of cases of gallbladder disease in the United
States.
Symptoms of Cholelithias - 🧠 ANSWER ✔✔Nausea
Vomiting
,Right upper quadrant abdominal pain or epigastric pain that radiates to the
right shoulder especially after meals when the gallbladder is stimulated to
release bile.
Patient Teaching for Cholelithiasis - 🧠 ANSWER ✔✔The diet immediately
after an episode is usually low-fat liquids. These can include powdered
supplements high in protein and carbohydrate stirred into skim milk.
Purpose of Medication in Cholelithiasis - 🧠 ANSWER ✔✔Purpose of
Medications: reduces hepatic production of cholesterol.
Lowers the cholesterol content of bile, which in turn facilitates the gradual
dissolution of cholesterol gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a naturally occurring bile acid .
Purpose of Adding Fat to Emulsion to TPN - 🧠 ANSWER ✔✔Fat emulsions
(lipids) are usually given to clients receiving TPN to provide supplemental
kilocalories and prevent fatty acid
Fat emulsions can also control hyperglycemia during periods of stress.
Carbon Dioxide in Laparoscopic Cholecystectomy - 🧠 ANSWER ✔✔Carbon
dioxide is used during the procedure
,Explain to the patient that they might feel pain in the right shoulder or
scapular area (from migration of the carbon dioxide used to insufflate the
abdominal cavity during the procedure).
Laparoscopic Colecystectomy 3 Things to do After - 🧠 ANSWER
✔✔Recommend a heating pad for 15 to 20 minutes hourly or
Encourage the client to ambulate frequently to reduce the bloating.
Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy - 🧠 ANSWER
✔✔Priority assessment should focus on the client's respiratory status.
If a traditional surgical approach is planned, the high abdominal incision
required during surgery may interfere with full respiratory excursion.
The nurse notes a history of smoking, previous respiratory problems,
shallow respirations, a persistent or ineffective cough, and the presence of
adventitious breath sounds.
CBC and BMP should also be assessed
4 Postoperative Complications of Cholecystostomy - 🧠 ANSWER ✔✔After
these surgical procedures, the client is observed for indications of infection,
leakage of bile into the peritoneal cavity, and obstruction of bile drainage.
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3
, If bile is not draining properly, an obstruction is probably causing bile to be
forced back into the liver and bloodstream.
Because jaundice may result, the nurse should assess the color of the
sclerae. Yellow-colored sclerae or skin can indicate jaundice.
Clay-colored stool should be reported as this indicates a complication.
Discharge Teaching for Open Cholecystectomy - 🧠 ANSWER ✔✔Usually,
only a small amount of serosanguineous fluid drains in the initial 24 hours
after surgery; afterward, the drain is removed.
The drain is typically maintained if there is excess oozing or bile leakage.
Empty the drainage bag attached at least every 8 hours and as needed, to
prevent reflux back into the bile duct.
Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and
frequenct diarrhea? - 🧠 ANSWER ✔✔Crohn's disease
The disease characterized by blood sools and left lower quadrent pain - 🧠
ANSWER ✔✔Ulcerative Colitis
Nursing Exam 2 2026 Exam
Questions and Answers | A+
Score Assured
Main Cause of Cholelithiasis - 🧠 ANSWER ✔✔Cholesterol stones account
for most of the remaining 75% of cases of gallbladder disease in the United
States.
Symptoms of Cholelithias - 🧠 ANSWER ✔✔Nausea
Vomiting
,Right upper quadrant abdominal pain or epigastric pain that radiates to the
right shoulder especially after meals when the gallbladder is stimulated to
release bile.
Patient Teaching for Cholelithiasis - 🧠 ANSWER ✔✔The diet immediately
after an episode is usually low-fat liquids. These can include powdered
supplements high in protein and carbohydrate stirred into skim milk.
Purpose of Medication in Cholelithiasis - 🧠 ANSWER ✔✔Purpose of
Medications: reduces hepatic production of cholesterol.
Lowers the cholesterol content of bile, which in turn facilitates the gradual
dissolution of cholesterol gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a naturally occurring bile acid .
Purpose of Adding Fat to Emulsion to TPN - 🧠 ANSWER ✔✔Fat emulsions
(lipids) are usually given to clients receiving TPN to provide supplemental
kilocalories and prevent fatty acid
Fat emulsions can also control hyperglycemia during periods of stress.
Carbon Dioxide in Laparoscopic Cholecystectomy - 🧠 ANSWER ✔✔Carbon
dioxide is used during the procedure
,Explain to the patient that they might feel pain in the right shoulder or
scapular area (from migration of the carbon dioxide used to insufflate the
abdominal cavity during the procedure).
Laparoscopic Colecystectomy 3 Things to do After - 🧠 ANSWER
✔✔Recommend a heating pad for 15 to 20 minutes hourly or
Encourage the client to ambulate frequently to reduce the bloating.
Manage nausea assess bowel sounds for further complications.
Preoperative Assessment for Open Cholecystectomy - 🧠 ANSWER
✔✔Priority assessment should focus on the client's respiratory status.
If a traditional surgical approach is planned, the high abdominal incision
required during surgery may interfere with full respiratory excursion.
The nurse notes a history of smoking, previous respiratory problems,
shallow respirations, a persistent or ineffective cough, and the presence of
adventitious breath sounds.
CBC and BMP should also be assessed
4 Postoperative Complications of Cholecystostomy - 🧠 ANSWER ✔✔After
these surgical procedures, the client is observed for indications of infection,
leakage of bile into the peritoneal cavity, and obstruction of bile drainage.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, If bile is not draining properly, an obstruction is probably causing bile to be
forced back into the liver and bloodstream.
Because jaundice may result, the nurse should assess the color of the
sclerae. Yellow-colored sclerae or skin can indicate jaundice.
Clay-colored stool should be reported as this indicates a complication.
Discharge Teaching for Open Cholecystectomy - 🧠 ANSWER ✔✔Usually,
only a small amount of serosanguineous fluid drains in the initial 24 hours
after surgery; afterward, the drain is removed.
The drain is typically maintained if there is excess oozing or bile leakage.
Empty the drainage bag attached at least every 8 hours and as needed, to
prevent reflux back into the bile duct.
Take showers not baths to prevent infection of the incision site.
What disease is characterized by possible malnourishment (anemic) and
frequenct diarrhea? - 🧠 ANSWER ✔✔Crohn's disease
The disease characterized by blood sools and left lower quadrent pain - 🧠
ANSWER ✔✔Ulcerative Colitis
