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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse is planning to complete an incisional dressing change for a client who is postoperative following an open cholecystectomy, in which of the following areas should the nurse expect to find the client's incision? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

    Explanation & Rationale

    A. Right upper quadrant of the abdomen: An open cholecystectomy involves surgical removal of the gallbladder, which is located in the right upper quadrant beneath the liver. The incision is typically made just below the right rib cage, making area A the correct site for the dressing change. B. Midline of the upper abdomen: This area corresponds to the epigastric region and would not align with the typical location for a gallbladder incision. Incisions here are more common for other abdominal surgeries, such as exploratory laparotomy. C. Lower midline abdomen: This area is associated with procedures involving the lower gastrointestinal tract, such as appendectomy or hysterectomy, and is not consistent with a cholecystectomy incision. D. Right lower quadrant: This region is typically related to surgeries involving the appendix, cecum, or right ovary, not the gallbladder. Selecting this area would not correspond to the correct postoperative site for a cholecystectomy.

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