7/29/25, 9:21 PM NSG 123 Medical Surgical Nursing Exam 2 (COMPLETE ANSWERS elaborations) answers 100% satisfaction guarantee 2025 UP…
NSG 123 Medical Surgical Nursing Exam 2
(COMPLETE ANSWERS elaborations) answers
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Terms in this set (121)
Cholesterol stones account for most of the remaining
Main Cause of
75% of cases of gallbladder disease in the United
Cholelithiasis
States.
Nausea
Vomiting
Right upper quadrant abdominal pain or epigastric
Symptoms of Cholelithias
pain that radiates to the right shoulder especially after
meals when the gallbladder is stimulated to release
bile.
The diet immediately after an episode is usually low-
Patient Teaching for fat liquids. These can include powdered supplements
Cholelithiasis high in protein and carbohydrate stirred into skim
milk.
Purpose of Medications: reduces hepatic production
of cholesterol.
Lowers the cholesterol content of bile, which in turn
Purpose of Medication in
facilitates the gradual dissolution of cholesterol
Cholelithiasis
gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a
naturally occurring bile acid .
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Fat emulsions (lipids) are usually given to clients
receiving TPN to provide supplemental kilocalories
Purpose of Adding Fat to
and prevent fatty acid
Emulsion to TPN
Fat emulsions can also control hyperglycemia during
periods of stress.
Carbon dioxide is used during the procedure
Carbon Dioxide in Explain to the patient that they might feel pain in the
Laparoscopic right shoulder or scapular area (from migration of the
Cholecystectomy carbon dioxide used to insufflate the abdominal
cavity during the procedure).
Recommend a heating pad for 15 to 20 minutes hourly
or
Laparoscopic
Encourage the client to ambulate frequently to
Colecystectomy 3 Things
reduce the bloating.
to do After
Manage nausea assess bowel sounds for further
complications.
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
Preoperative Assessment
interfere with full respiratory excursion.
for Open
The nurse notes a history of smoking, previous
Cholecystectomy
respiratory problems, shallow respirations, a persistent
or ineffective cough, and the presence of adventitious
breath sounds.
CBC and BMP should also be assessed
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After these surgical procedures, the client is observed
for indications of infection, leakage of bile into the
peritoneal cavity, and obstruction of bile drainage.
If bile is not draining properly, an obstruction is
4 Postoperative probably causing bile to be forced back into the liver
Complications of and bloodstream.
Cholecystostomy 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.
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
Discharge Teaching for oozing or bile leakage.
Open Cholecystectomy 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 Crohn's disease
characterized by possible
malnourishment (anemic)
and frequenct diarrhea?
The disease characterized Ulcerative Colitis
by blood sools and left
lower quadrent pain
What GI disease would be Ulcerative Colitis
best diagnosed with
colonoscopy?
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NSG 123 Medical Surgical Nursing Exam 2
(COMPLETE ANSWERS elaborations) answers
100% satisfaction guarantee 2025 UPDATE!!
Save
Terms in this set (121)
Cholesterol stones account for most of the remaining
Main Cause of
75% of cases of gallbladder disease in the United
Cholelithiasis
States.
Nausea
Vomiting
Right upper quadrant abdominal pain or epigastric
Symptoms of Cholelithias
pain that radiates to the right shoulder especially after
meals when the gallbladder is stimulated to release
bile.
The diet immediately after an episode is usually low-
Patient Teaching for fat liquids. These can include powdered supplements
Cholelithiasis high in protein and carbohydrate stirred into skim
milk.
Purpose of Medications: reduces hepatic production
of cholesterol.
Lowers the cholesterol content of bile, which in turn
Purpose of Medication in
facilitates the gradual dissolution of cholesterol
Cholelithiasis
gallstones.
Examples : Chenodiol (Chenodal, Chenix) is a
naturally occurring bile acid .
https://quizlet.com/1062910260/nsg-123-medical-surgical-nursing-exam-2-complete-answers-elaborations-answers-100-satisfaction-guarantee-2025-… 1/25
,7/29/25, 9:21 PM NSG 123 Medical Surgical Nursing Exam 2 (COMPLETE ANSWERS elaborations) answers 100% satisfaction guarantee 2025 UP…
Fat emulsions (lipids) are usually given to clients
receiving TPN to provide supplemental kilocalories
Purpose of Adding Fat to
and prevent fatty acid
Emulsion to TPN
Fat emulsions can also control hyperglycemia during
periods of stress.
Carbon dioxide is used during the procedure
Carbon Dioxide in Explain to the patient that they might feel pain in the
Laparoscopic right shoulder or scapular area (from migration of the
Cholecystectomy carbon dioxide used to insufflate the abdominal
cavity during the procedure).
Recommend a heating pad for 15 to 20 minutes hourly
or
Laparoscopic
Encourage the client to ambulate frequently to
Colecystectomy 3 Things
reduce the bloating.
to do After
Manage nausea assess bowel sounds for further
complications.
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
Preoperative Assessment
interfere with full respiratory excursion.
for Open
The nurse notes a history of smoking, previous
Cholecystectomy
respiratory problems, shallow respirations, a persistent
or ineffective cough, and the presence of adventitious
breath sounds.
CBC and BMP should also be assessed
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After these surgical procedures, the client is observed
for indications of infection, leakage of bile into the
peritoneal cavity, and obstruction of bile drainage.
If bile is not draining properly, an obstruction is
4 Postoperative probably causing bile to be forced back into the liver
Complications of and bloodstream.
Cholecystostomy 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.
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
Discharge Teaching for oozing or bile leakage.
Open Cholecystectomy 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 Crohn's disease
characterized by possible
malnourishment (anemic)
and frequenct diarrhea?
The disease characterized Ulcerative Colitis
by blood sools and left
lower quadrent pain
What GI disease would be Ulcerative Colitis
best diagnosed with
colonoscopy?
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