Question

ll 50%. 7:57 a 85 o x Copy of CS_Ch_50 Bili... View only Case Study, Chapter 50, Assessment and Management of Patients with Biliary Disorders 1. Evelyn Bean, 52 years of age, is admitted to the same-day surgery unit for an elective laparoscopic cholecystectomy. The patient presents with jaundice of the skin and sclera. The patient's urine is dark and the patient stated that she has clay-colored stools. She stated she has occasional colicky pain in her right upper quadrant of her abdomen radiating to her back. The patient had preadmission testing 1 week ago and the results are on the patient's chart. The record of patient education and an informed written consent are also on the chart. (Learning Objectives 2 and 3) a. What additional procedure will be performed if the common bile duct is obstructed by a gallstone? b. The nurse in the same day surgery unit provides the discharge instructions to the patient and family before the patient goes for surgery so the patient is fully awake to receive the instructions and ask questions. What written and verbal instructions should the nurse provide?

Answer 1

1a)..bean 52 years age is admitted for elective Cholecystectomy.the common bile duct is the passage where the bile goes from liver to gall bladder.if the common bile duct is obstructed by a gallstone then the procedure that is to be performed is ERCP that is endoscopic retrograde cholangiopancreatography.by this small stones are removed from the passage.

B).the nurse should give preoperative teaching to the client.she should give idea about the surgery and the duration of surgery and the possible side effects.she should psychological support to the patient berofe surgery.she should give proper information about the followup care after surgery.