Challenge your nursing knowledge with this Medical-Surgical Nursing Examination! This is a 50-item examination that can help you improve, review and challenge your knowledge about Medical-Surgical Nursing! If you are taking the board examination or nurse licensure examination or even the NCLEX, then this practice exam is for you.

This is part 8 of 10 examinations.

Challenge your nursing knowledge with this Medical-Surgical Nursing Examination! This is a 50-item examination that can help you improve, review and challenge your knowledge about Medical-Surgical Nursing! If you are taking the board examination or nurse licensure examination or even the NCLEX, then this practice exam is for you.

This is part 6 of 10 examinations.

Challenge your nursing knowledge with this Medical-Surgical Nursing Examination! This is a 50-item examination that can help you improve, review and challenge your knowledge about Medical-Surgical Nursing!

Cholecystectomy is the surgical removal of the gallbladder. Cholecystectomy is performed most frequently through laparoscopic incisions using laser. However, traditional open cholecystectomy is the treatment of choice for many patients with multiple/large gallstones either because of acute symptomatology or to prevent recurrence of stones.

NURSING DIAGNOSIS: Breathing Pattern, ineffective May be related to Pain Muscular impairment Decreased energy/fatigue Possibly evidenced by Tachypnea; respiratory depth changes, reduced vital capacity Holding breath; reluctance to cough Desired Outcomes Establish effective breathing pattern. Experience no signs of respiratory compromise/complications. Nursing Interventions Rationale  Observe respiratory rate/depth.  Shallow breathing, splinting with respirations, holding breath may result in hypoventilation/atelectasis.  Auscultate breath [...]

NURSING DIAGNOSIS: Deficient Knowledge May be related to Lack of exposure; information misinterpretation Unfamiliarity with information resources Lack of recall Possibly evidenced by Questions; statement of misconception Request for information Inaccurate follow-through of instructions Desired Outcomes Verbalize understanding of disease process, surgical procedure/prognosis, and potential complications. Verbalize understanding of therapeutic needs. Correctly perform necessary procedures and explain reasons for the [...]

NURSING DIAGNOSIS: Impaired Skin Integrity May be related to Chemical substance (bile), stasis of secretions Altered nutritional state (obesity)/metabolic state Invasion of body structure (T-tube) Possibly evidenced by Disruption of skin/subcutaneous tissues Desired Outcomes Achieve timely wound healing without complications. Demonstrate behaviors to promote healing/prevent skin breakdown. Nursing Interventions Rationale  Observe the color and character of the drainage.  Initially, drainage may [...]

NURSING DIAGNOSIS: Risk for Deficient Fluid Volume Risk factors may include Losses from NG aspiration, vomiting Medically restricted intake Altered coagulation, e.g., reduced prothrombin, prolonged coagulation time Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Display adequate fluid balance as evidenced by stable vital signs, moist mucous membranes, good skin turgor/capillary refill, and individually appropriate [...]