Author Question: When caring for the client who is 4 days post-cholecystectomy, the nurse is asked by the family if ... (Read 72 times)

amal · **on:** Jul 22, 2018

When caring for the client who is 4 days post-cholecystectomy, the nurse is asked by the family if there should be so much drainage from the tube. The nurse notices that the drainage from the T-tube is 600 mL in 24 hours.

Which is the appropriate action by the nurse? 1. Clamp the tube q 2 hours for 30 minutes
2. Place the patient in a supine position
3. Assess drainage characteristics and notify the physician
4. Encourage an increased fluid intake

Question 2

Which food group would be permitted for a patient on a low-residue diet?

a. whole grain bread c. raw apples
b. chicken d. sunflower seeds

duke02 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Assess drainage characteristics and notify the physician

Rationale:
The T-tube may drain 500 mL in the first 24 hours and decrease steadily thereafter. If there is excessive drainage, the nurse should further assess the drainage to be able to describe it accurately and notify the physician immediately. Clamping the tube would be contraindicated. Placing the patient in a supine position and encouraging fluid intake are of no help.

Answer to Question 2

B
A low-residue diet has reduced fiber and cellulose. Feeds to be avoided are raw fruits, raw vegetables, seeds, plant fiber, and whole grains. This patient would be permitted chicken.