QUESTIONS and ANSWERS. ( NURSING) A 56years old female came to the Emergency room complaining of nausea/Vomiting and severe upper right quadrant pain. His body temperature is 101.3°F(38.5C)and an abdominal Xray reveals an enlarged gallbladder. She is given a diagnosis of Acute Cholecystitis and is scheduled for surgery. After administering an analgesic to the patient, the nurse recognizes that assessing the patient fluid and electrolytes status is the top most priority. The nurse performs a postoperative assessment on a patient who has had a Cholecystectomy. (1)In order to adequately assess the patient for bowel sounds, the nurse should?.

(A )Divide the abdomen into four quadrants, auscultate each area with a stethoscope for at least five minutes if no sounds are heard.

(B)Assess the abdomen.

(C )Slow bowel sounds.

(D )Hypoactive bowel sounds.

Correct answer A.

Rationale: Divide the abdomen into four quadrants. Auscultate each area with stethoscope for at least five minutes if no sounds are heard. In active bowel sounds there will be clicks and gurgle .If there is no sound there is no bowel sounds.

(2 ) What is acute Cholecystitis?.

( A) Cholecystectomy is the inflammation of the gallbladder ,a small digestive organ beneath the liver.

(B ) Inflammation of the brain.

(C )Infection of the bladder.

(D)All of the above is correct.

Correct answer A.

Rationale:It is inflammation of the bladder.

(3) Why should fluid and electrolytes be top priority?.

(A) Because patient came in with nausea/Vomiting. When patient vomits sometimes they become dehydrated and lost of electrolyte such as potassium. So evaluation of electrolytes is important because if they are low it should be replaced.

(B) It is a waste of patient time.

(C) Electrolytes has nothing to do with nausea/Vomiting.

(D) None of the above is correct.

Correct answer A.

(4)Signs and symptoms of cholecystectomy are?.

(A )Pain in upper middle area radiating around to the back. Jaundice, nausea/Vomiting, flatulence, bloating, belching, intolerance to fatty foods.

(B )Headache, drowsiness, dizziness, nausea/Vomiting.

(C) Frequent urination, bowel movement, low electrolytes and headaches.

(D)Feeling of sensation, pain and headache.

Correct answer A.

(5) Cholecystectomy which is the removal of gallbladder. T- tube inserted for drainage from bile duct.

(A) True.

(B) False.

Correct answer A.