A client returned to the nursing unit after cholecystectomy with common bile duct exploration has bile leaking from around the wound. The most appropriate nursing intervention at this time would be to
A) assess the client further, asking about pain.
B) reassure the client that this is normal and reinforce the dressing.
C) monitor the client for elevations in blood pressure and pulse.
D) encourage the client to change position in bed.

Question

Quizplus · Accepted Answer

The risk of bile leakage into the abdominal cavity is more specific for surgeries that involve the gallbladder. With hemorrhage and bile leakage, the client feels severe pain and tenderness in the right upper quadrant; the abdominal girth increases; bile or blood may leak from the wound; blood pressure drops; and tachycardia develops.

A Client Returned to the Nursing Unit After Cholecystectomy with Common