Author Question: A patient has been given instructions about a laparoscopic cholecystectomy. Which patient statement ... (Read 43 times)

kaid0807 · **on:** Jun 25, 2018

A patient has been given instructions about a laparoscopic cholecystectomy. Which patient statement indicates further teaching is needed?

1. I should be able to go home within a day after the procedure.
2. I will probably have bandages over the puncture sites.
3. I am glad I won't need to have an open cholecystectomy.
4. I will tell the nurse if I feel nauseated after surgery.

Question 2

A patient scheduled for a laparoscopic cholecystectomy asks the nurse why a surgical consent for a laparotomy must also be completed. How should the nurse respond?

1. By signing both now, you'll never have to sign another one. We'll keep the extra on file for the future.
2. Surgeons base their decision on whether to do the procedure laparoscopically or with a full incision on many factors. With this signed, the surgeon has options.
3. You will be ready if the laparoscopic operating rooms are busy today.
4. The surgeon will start the procedure laproscopically but may need to make an incision to complete the procedure.

aliotak · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 3
A patient with a laparoscopic cholecystectomy is at risk for needing an open cholecystectomy if the procedure cannot be completed laparoscopically due to complications. Patients are typically discharged within 24 hours. The patient will likely have adhesive bandages over the puncture sites. Nausea is common after surgery and should be reported to the nurse.

Answer to Question 2

Correct Answer: 4
There is a risk that a laparoscopic cholecystectomy may be converted to a laparotomy (surgical opening into the abdomen) during the procedure. Surgical consents are not signed in advance of procedures. The consent is not intended to provide the surgeon with options. The busyness of the operating rooms has nothing to do with the consent form.