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A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

"The test involves inserting a scope through your mouth to visualize the gallbladder."

"The procedure uses X-rays to assess your gallbladder after you swallow a contrast dye."

"A small sample of your gallbladder tissue will be removed for examination."

"The test involves a radioactive tracer injection to evaluate your gallbladder function."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Describing an endoscopy procedure, which is not involved in an oral cholecystogram, is not accurate.

Choice B reason:

This statement is correct. An oral cholecystogram (OCG) is a radiologic imaging test that involves swallowing a contrast dye, which outlines the gallbladder and bile ducts, allowing X-rays to visualize the presence of gallstones.

Choice C reason:

Removing a sample of the gallbladder tissue for examination would be a biopsy, not an oral cholecystogram.

Choice D reason:

A radioactive tracer injection is used in hepatobiliary iminodiacetic acid (HIDA) scan, not an oral cholecystogram.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

A. Administer pain medication as prescribed. B. Notify the surgeon immediately. C. Apply a cold pack to the incision site. D. Instruct the client to perform deep breathing exercises.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. The nurse's priority is to manage the client's pain effectively by administering prescribed pain medication.

Choice B reason:

Notifying the surgeon may be necessary if there are signs of complications, but managing the client's pain is the immediate priority.

Choice C reason:

Applying a cold pack may help with pain and swelling in some cases, but the nurse's priority is to administer pain medication first.

Choice D reason:

Instructing the client to perform deep breathing exercises is important for postoperative recovery, but it does not address the immediate need for pain management.

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A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Correct Answer is A

Explanation

A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

Correct Answer is A

Explanation

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A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

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