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Patho Final Exam

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Biliary Disorders

Question 1 of 13

1

The nurses is assessing a client who is experiencing an acute episode of cholecystitis. Where should the nurse anticipate the location of the pain?

Select one of the following:

  • Right lower quadrant, radiating to the back

  • Right lower quadrant, radiating to the umbilicus

  • Right upper quadrant, radiating to the left scapula and shoulder

  • Right upper quadrant, radiating to the right scapula and shoulder

Explanation

Question 2 of 13

1

Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful?

Select one of the following:

  • 4-6 small meals of low-carbohydrate foods daily

  • High-fat, high-carbohydrate meals

  • Low-fat, high-carbohydrate meals

  • High-fat, low protein meals

Explanation

Question 3 of 13

1

Your client had undergone percutaneous transhepatic cholangiography. Which assessment finding indicates complication after the operation?

Select one of the following:

  • fever and chills

  • hypertension

  • bradycardia

  • nausea and diarrhea

Explanation

Question 4 of 13

1

Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?

Select one of the following:

  • Jaundice, dark urine, and steatorrhea

  • Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration

  • Ecchymosis, petechiae, and coffee-ground emesis

  • Nausea, vomiting, and anorexia

Explanation

Question 5 of 13

1

A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:

Select one of the following:

  • yellow sclera

  • light amber urine

  • circumoral pallor

  • black, tarry stools

Explanation

Question 6 of 13

1

During assessment of a patient with cholestatic (obstructive) jaundice, which of the following would the nurse expect to find?

Select one of the following:

  • clay-coloured stools

  • dark urine and stools

  • pyrexia and severe pruritis

  • elevated urinary urobilinogen level

Explanation

Question 7 of 13

1

The nursing management of a patient with cholecystitis in association with cholelithiasis should include which of the following?

Select one of the following:

  • recommendation of a low-fat diet

  • information that gallstones once removed tend not to recur

  • avoidance of morphine in the management of pain

  • treatment with oral bile salts that dissolve gallstones

Explanation

Question 8 of 13

1

What information should be included in teaching about home management after a laparoscopic cholecystectomy?

Select one of the following:

  • keeping the bandages on the puncture sites for 48 hours

  • reporting any bile-coloured drainage or pus from incision

  • using over-the-counter antiemetics if nausea and vomiting occur

  • emptying and measuring the contents of the bile bag from the T-tube every day

Explanation

Question 9 of 13

1

Select all the apply from the following discharge teaching points for post-surgery laparoscopic cholecystectomy.

Select one or more of the following:

  • a normal diet can be resumed immediately

  • monitor for signs of infection

  • avoid heavy lifting (>20lb)

  • resume normal activities gradually

  • take a mild laxative

  • vigorous exercise is encouraged

Explanation

Question 10 of 13

1

Select all that apply: complications of cholelithiasis

Select one or more of the following:

  • pancreatitis

  • kidney failure

  • diarrhea

  • constipation

  • cholecystitis

  • cholangitis

  • bile duct obstruction

Explanation

Question 11 of 13

1

Lithotripsy is used to treat small gall stones

Select one of the following:

  • True
  • False

Explanation

Question 12 of 13

1

gallbladder nuclear scanning (cholescintigram) is an accurate test for confirming acute cholecystitis.

Select one of the following:

  • True
  • False

Explanation

Question 13 of 13

1

cholangitis is an inflammation of the cystic duct

Select one of the following:

  • True
  • False

Explanation

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