2941491
Pregunta 1
Pregunta
The nurses is assessing a client who is experiencing an acute episode of cholecystitis. Where should the nurse anticipate the location of the pain?
Respuesta
-
Right lower quadrant, radiating to the back
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Right lower quadrant, radiating to the umbilicus
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Right upper quadrant, radiating to the left scapula and shoulder
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Right upper quadrant, radiating to the right scapula and shoulder
Pregunta 2
Pregunta
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?
Respuesta
-
4-6 small meals of low-carbohydrate foods daily
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High-fat, high-carbohydrate meals
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Low-fat, high-carbohydrate meals
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High-fat, low protein meals
Pregunta 3
Pregunta
Your client had undergone percutaneous transhepatic cholangiography. Which assessment finding indicates complication after the operation?
Respuesta
-
fever and chills
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hypertension
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bradycardia
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nausea and diarrhea
Pregunta 4
Pregunta
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?
Respuesta
-
Jaundice, dark urine, and steatorrhea
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Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration
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Ecchymosis, petechiae, and coffee-ground emesis
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Nausea, vomiting, and anorexia
Pregunta 5
Pregunta
A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
Respuesta
-
yellow sclera
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light amber urine
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circumoral pallor
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black, tarry stools
Pregunta 6
Pregunta
During assessment of a patient with cholestatic (obstructive) jaundice, which of the following would the nurse expect to find?
Respuesta
-
clay-coloured stools
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dark urine and stools
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pyrexia and severe pruritis
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elevated urinary urobilinogen level
Pregunta 7
Pregunta
The nursing management of a patient with cholecystitis in association with cholelithiasis should include which of the following?
Respuesta
-
recommendation of a low-fat diet
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information that gallstones once removed tend not to recur
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avoidance of morphine in the management of pain
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treatment with oral bile salts that dissolve gallstones
Pregunta 8
Pregunta
What information should be included in teaching about home management after a laparoscopic cholecystectomy?
Respuesta
-
keeping the bandages on the puncture sites for 48 hours
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reporting any bile-coloured drainage or pus from incision
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using over-the-counter antiemetics if nausea and vomiting occur
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emptying and measuring the contents of the bile bag from the T-tube every day
Pregunta 9
Pregunta
Select all the apply from the following discharge teaching points for post-surgery laparoscopic cholecystectomy.
Respuesta
-
a normal diet can be resumed immediately
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monitor for signs of infection
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avoid heavy lifting (>20lb)
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resume normal activities gradually
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take a mild laxative
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vigorous exercise is encouraged
Pregunta 10
Pregunta
Select all that apply: complications of cholelithiasis
Respuesta
-
pancreatitis
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kidney failure
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diarrhea
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constipation
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cholecystitis
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cholangitis
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bile duct obstruction
Pregunta 11
Pregunta
Lithotripsy is used to treat small gall stones
Respuesta
- True
- False
Pregunta 12
Pregunta
gallbladder nuclear scanning (cholescintigram) is an accurate test for confirming acute cholecystitis.
Respuesta
- True
- False
Pregunta 13
Pregunta
cholangitis is an inflammation of the cystic duct
Respuesta
- True
- False
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