A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

"ERCP involves the use of magnetic resonance imaging to visualize your biliary system."

"During ERCP, a radioactive tracer will be injected to assess your gallbladder function."

"ERCP is an invasive procedure that uses an endoscope to visualize and treat your biliary system."

"This procedure is a non-invasive test that uses sound waves to create images of your abdomen."

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is incorrect. ERCP does not involve the use of magnetic resonance imaging (MRI). It is an endoscopic procedure that combines endoscopy with fluoroscopy to visualize the biliary system.

Choice B reason:

This statement is incorrect. ERCP uses a contrast dye, not a radioactive tracer, to visualize the biliary system and identify abnormalities or obstructions.

Choice C reason:

This statement is correct. ERCP is an invasive procedure that involves the use of an endoscope. The endoscope is inserted through the mouth and guided through the digestive tract to the duodenum, where contrast dye is injected into the biliary and pancreatic ducts to visualize their structures and identify any abnormalities.

Choice D reason:

This statement is incorrect. ERCP is not a non-invasive test that uses sound waves. It is an invasive procedure that requires the insertion of an endoscope into the body to view the biliary system.

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Correct Answer is D

Explanation

Choice A reason:

Fasting for 12 hours is not required before an abdominal ultrasound. However, the client may be asked to avoid eating fatty or heavy meals before the procedure.

Choice B reason:

Filling the bladder with a gallon of water is unnecessary and not related to an abdominal ultrasound. A full bladder is required for pelvic ultrasounds, not abdominal ultrasounds.

Choice C reason:

Avoiding drinking liquids for 2 hours before the ultrasound is not necessary. In fact, a full bladder is preferred for better visualization during an abdominal ultrasound.

Choice D reason:

This statement is correct. To have a full bladder for the ultrasound, the client should drink 16 ounces of water about one hour before the procedure. A full bladder helps lift the intestines and improves the visualization of the gallbladder and surrounding structures.

A. Administer an antiemetic medication as prescribed to alleviate nausea and vomiting. B. Encourage the client to eat a high-fat diet to stimulate gallbladder function and reduce symptoms. C. Explain to the client that nausea and vomiting are common after surgery and will resolve on their own. D. Request an order for additional opioids to manage pain, as they may have contributed to the nausea.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Administering an antiemetic medication can help alleviate nausea and vomiting, which are common side effects of opioid analgesics used for postoperative pain management.

Choice B reason:

Eating a high-fat diet is not recommended after cholecystectomy, as the gallbladder has been removed. Consuming high-fat foods may exacerbate symptoms and lead to digestive discomfort.

Choice C reason:

While nausea and vomiting can be common after surgery, it is important to address these symptoms to ensure the client's comfort and prevent dehydration or other complications.

Choice D reason:

Requesting additional opioids to manage pain may worsen the nausea and vomiting. It is essential to balance pain management with measures to minimize side effects like nausea.

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A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

A nurse is providing education to a client diagnosed with cholecystitis. Which statement by the client indicates a need for further teaching?

A nurse is reviewing the diagnostic results for a client with suspected cholecystitis. Which of the following laboratory findings is commonly elevated in this condition?

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

A client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

A nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. The client asks when they can resume their regular physical activities. Which of the following responses should the nurse provide?

A client is recovering from a cholecystectomy and asks the nurse about dietary recommendations post-surgery. Which of the following responses should the nurse provide?

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?