Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A thirteen-year-old patient who is scheduled for an abdominal cholecystectomy is given a preoperative teaching by a nurse. Which of the following statements by the patient is indicative that further teaching is required?
  1. “A few hours after the procedure, I will sit up at the bedside.”
  2. “I will splint my incision area when coughing.”
  3. “I will use an incentive spirometer every one to two hours.”
  4. “I will need to move my body like a log when I turn.”
Explanation
Answer - D - The statement by the patient that is indicative that further teaching is required is, “I will need to move my body like a log when I turn.” Abdominal cholecystectomy involves removal of the gallbladder through a midline abdominal or right subcostal incision. The technique mentioned by the patient is only necessary for patients who have had a lumbar disc-not abdominal-surgery to prevent twisting the spine during movement.
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