Author Question: A client who is 4 days post-cholecystectomy has T-tube drainage totaling 600 mL in 24 hours. Which ... (Read 79 times)

itsmyluck · **on:** Jun 25, 2018

A client who is 4 days post-cholecystectomy has T-tube drainage totaling 600 mL in 24 hours. Which actions by the nurse are appropriate based on this data?

Select all that apply.
A) Notify the healthcare provider.
B) Place the client in a supine position.
C) Assess drainage characteristics.
D) Clamp the tube q 2 hours for 30 minutes.
E) Encourage an increased fluid intake.

Question 2

The nurse is evaluating care provided to an older adult client with a history of cholecystitis 5 months ago. Which statement indicates the client met a goal in the plan of care?

A) I have increased my intake of fat.
B) I have been eating out often.
C) I have been walking 1 mile every day.
D) I have been able to gain 5 pounds on the new diet.

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

Answer to Question 1

Answer: A, C

The T-tube may drain 500 mL in the first 24 hours and is expected to 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 healthcare provider immediately. Clamping the tube would be contraindicated. Placing the client in a supine position and encouraging fluid intake are of no help.

Answer to Question 2

Answer: D

The older adult client with cholecystitis is at risk for infection. A goal would be to stabilize or increase weight through the appropriate diet to support the immune system and resist infection. Exercise is excellent but does not meet this client's goal. Eating out would not be a goal for a client being treated for cholecystitis. The client would want to decrease fat intake.