NSG 123 Medical Surgical Nursing Exam 2| 121 Questions With Complete Solutions.

Main Cause of Cholelithiasis - Cholesterol stones account for most of the remaining 75% of cases of gallbladder disease in the United States. Symptoms of Cholelithias - 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 - 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 - 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 - 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 - 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 - 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 - 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 - After these surgical procedures, the client is observed for indications of infection, leakage of bile into the peritoneal cavity, and obstruction of bile drainage.