If the patient has a T-tube in place after a cholecystectomy, the ...

[Zulu123]

If the patient has a T-tube in place after a cholecystectomy, the best nursing intervention would be to
 
  a. open the T-tube to air so that it will drain freely.
  b. position and secure the drainage bag at the abdominal level.
  c. make certain that the tube is tightly taped to the patient near the nipple.
  d. irrigate the T-tube with normal saline to ensure the free flow of bile.

Question 2

A nurse who provides care on the palliative unit of a large teaching hospital has been working with an older adult client who is dying of lung cancer with liver metastases and has generated good rapport with both the client and his family.
 
  Which of the following statements best exemplifies a holistic approach to nursing care? A) Our goal is to keep you pain-free to the best of our ability, so don't hesitate to request additional pain medications..
  B) I will raise the possibility of palliative radiation treatment when your oncologist is next in..
  C) I'm wondering what feelings you have around being at this stage of your life..
  D) I'll make sure that both the social worker and physical therapist come by in the next day or so..

[ghepp]

Answer to Question 1

B
The nurse will be responsible for the care of the T-tube if one is placed. The drainage bag for the T-tube is placed below the level of the common bile duct to prevent the reflux of bile. The bag must be positioned so the tube is not kinked, or bile cannot drain from the liver. Normally T-tubes are not irrigated.

Answer to Question 2

C
Feedback:
Answer C encompasses concerns around the client's presence or absence of peace at this stage in life and supersedes immediate medical or logistical concerns. Answers A, B, and D represent valid nursing actions but are less indicative of the holistic scope of nursing practice.

[Zulu123]

Thanks for the timely response, appreciate it

[marict]

Gracias!