The nurse recognizes that teaching a patient following a laparoscopic cholecystectomy has been effective when the patient makes which statement?

Correct Answer: A

Rationale: Rationale for Correct Answer (A): The statement "I can take a shower and walk around the house tomorrow" indicates an understanding of post-operative activity expectations. After a laparoscopic cholecystectomy, early ambulation is encouraged to prevent complications like blood clots. Additionally, showering promotes wound healing and hygiene. Incorrect Choices: B: "I need to limit my activities and not return to work for 4 weeks" - This choice is incorrect as it overestimates the recovery time for a laparoscopic cholecystectomy, which typically allows for a quicker return to normal activities. C: "I can expect yellowish drainage from the incision for a few days" - While drainage is common after surgery, the color and duration mentioned are not typical for this procedure. D: "I will follow a low-fat diet for life because I do not have a gallbladder" - Following a low-fat diet is recommended after surgery, but the statement is too extreme as dietary

Correct Answer: A

Rationale: The correct answer is A: cholecystokinin. Cholecystokinin stimulates the pancreas to secrete an enzyme-rich fluid to aid in digestion in response to the presence of fats and proteins in the small intestine. Secretin mainly stimulates bicarbonate secretion from the pancreas. Enterogastrone inhibits gastric emptying. Enterocrinin stimulates the secretion of digestive enzymes from the pancreas and also helps regulate the movements of the intestine.

Correct Answer: B

Rationale: The correct answer is B: duodenum. The duodenum is the shortest section of the small intestine, measuring around 25-30 cm in length. It is the first part of the small intestine and plays a crucial role in the digestion process by receiving partially digested food from the stomach and mixing it with digestive enzymes from the pancreas and bile from the liver. The colon (choice A) is the longest part of the large intestine, the ileum (choice C) and jejunum (choice D) are longer sections of the small intestine, following the duodenum in the digestive tract. Therefore, the duodenum is the correct answer as it is specifically the shortest part of the intestines.

Correct Answer: D

Rationale: The correct answer is D: beta cells. Beta cells are the specific type of cells in the pancreas responsible for producing insulin. They are located in the islets of Langerhans and play a crucial role in regulating blood sugar levels. Acinar cells (A) are responsible for producing digestive enzymes, duct cells (B) are involved in transporting pancreatic enzymes, and alpha cells (C) produce glucagon, which has the opposite effect of insulin in regulating blood sugar. Therefore, the correct choice is beta cells as they are the primary insulin-producing cells in the pancreas.

Correct Answer: A

Rationale: Rationale: A: Low-dose aspirin can cause false positive results in fecal occult blood testing due to its effect on gastrointestinal bleeding. Therefore, the client should inform the healthcare provider and consider stopping or adjusting the aspirin therapy during the testing period. B: Refraining from raw fruits and vegetables is correct as they can interfere with the test results. C: Avoiding red meats is correct as they can also affect the test results. D: Continuing Coumadin as prescribed is correct as it does not interfere with fecal occult blood testing.