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Exam NCLEX-RN topic 4 question 60 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 60
Topic #: 4
[All NCLEX-RN Questions]

A 48-year-old female client is going to have a cholecystectomy in the morning. In planning for her postoperative care, the nurse is aware that a priority nursing diagnosis for her will be high risk for:

  • A. Knowledge deficit
  • B. Urinary retention
  • C. Impaired physical mobility
  • D. Ineffective breathing pattern
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Suggested Answer: D 🗳️
(A) The client may have a knowledge deficit, but reducing the risk for knowledge deficit is not a priority nursing diagnosis postoperatively. (B) The client will have a
Foley catheter for a day or two after surgery. Urinary retention is usually not a problem once the Foley catheter is removed. (C) A client having a cholecystectomy should not be physically impaired. In fact, the client is encouraged to begin ambulating soon after surgery. (D) Because of the location of the incision, the client having a cholecystectomy is reluctant to breathe deeply and is at risk for developing pneumonia. These clients have to be reminded and encouraged to take deep breaths.
by [deleted] at March 10, 2025, 6:45 a.m.

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