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SIM 1: Preoperative Care of the Patient Scheduled for a Cholecystectomy NUR: 240

Sheila Wangai

1. Define the following terms: a) Cholelithiasis: the formation of gallstones. Gallstones are solid concretions of varying quantities of cholesterol, calcium, and bilirubin, which usually form in the gallbladder but sometimes form in the bile ducts. b) Cholecystitis: c) Traditional (open) Cholecystectomy versus Laparoscopic Cholecystectomy: d) Common Bile Duct Exploration: 2. Identify signs and symptoms of: a) Cholelithiasis: b) Cholecystitis: 3. Discuss factors that predispose one to the development of Cholelithiasis: 4. Discuss lab studies used to diagnose acute Cholelithiasis: 5. Describe standard preoperative teaching and rationale for abdominal surgery: 6. Describe the nursing management of a preoperative Cholecystectomy patient including but not limited to the following interventions: a) Starting an IV: b) Inserting a nasogastric tube: c) Inserting a urinary catheter: d) Documentation of interventions: 7. Discuss pain management of the acute Cholelithiasis patient: 8. Discuss the legal ramifications in obtaining operative consent forms:

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