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Case Study - LB is a 45-year-old white woman with three children-ages 4, 6, and 10 years. She works long hours as an instructor at a local college to support her children and husband, who is disabled. She has had a 6-month history of severe bouts of abdominal pain associated with indigestion, gas, and steatorrhea. Fatty foods seem to exacerbate the symptoms. LB is about 40 lb overweight. A computed tomography scan of LB's abdomen revealed multiple stones in her gallbladder. She was scheduled for a cholecystectomy. Answer the following questions about LB's situation.
1. What risk factors does LB have that predispose her to development of gallstones?
2. Why are fatty foods often associated with an exacerbation of symptoms?
3. What is the relationship between gallstones and cholecystitis?
4. What options are there for the surgical removal of the gallbladder? What other options are available for the treatment of cholecystitis?
5. Laparoscopic cholecystectomy is selected. Will LB continue to secrete bile after her surgery? How?
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
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