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.
1. What additional procedure will be performed if the common bile duct is obstructed by a gallstone?
2. 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:

Si

Explanation:

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the treatment of other conditions (e.g., cystic breast disease) and for other medical reasons. Mastectomy is most effective when the cancerous tumour is discovered at an early stage and the malignant cells are localized. In order to best ensure the removal of all cancerous tissue, however, a margin of tissue surrounding a tumour and, sometimes, other nearby structures are also removed. Thus, there are several types of mastectomy, the selection of procedure depending on the location and extent of the disease (determined by X ray, thermography, and other diagnostic techniques) and the nature of the cancerous cells (determined by biopsy).

Explanation:

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Neostigmine. Mechanism of Action: Inhibits the hydrolysis of acetylcholine by competing with acetylcholine for attachment to acetylcholinesterase at sites of cholinergic transmission. It enhances cholinergic action by facilitating the transmission of impulses across neuromuscular junctions.

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