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 C

Explanation

Choice A reason:

Dark urine and pale-colored stools are not typically associated with a gastrointestinal infection. These symptoms are more indicative of changes in bile flow or bilirubin excretion.

Choice B reason:

While cholecystitis can lead to malabsorption of nutrients, it is not the primary cause of changes in stool color to pale.

Choice C reason:

This statement is correct. Cholecystitis can obstruct the bile duct, leading to a decrease in bilirubin excretion. Bilirubin gives urine its characteristic color, and when excretion is reduced, the urine becomes darker (brownish). Likewise, the absence of bilirubin in the stool leads to pale-colored or clay-colored stools.

Choice D reason:

Dehydration may occur in some cases of cholecystitis, but it is not the primary cause of changes in urine and stool color.

A. "Acute cholecystitis is a sudden onset of gallbladder inflammation, while chronic cholecystitis is a long-standing inflammation due to repeated episodes." B. "Acute cholecystitis is caused by gallbladder cancer, while chronic cholecystitis is caused by gallstones." C. "Acute cholecystitis is more common in older adults, while chronic cholecystitis is more common in young adults." D. "Acute cholecystitis is treated with lifestyle modifications, while chronic cholecystitis requires surgical removal of the gallbladder."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct and explains the difference between acute and chronic cholecystitis. Acute cholecystitis is characterized by a sudden onset of inflammation, often caused by gallstones blocking the cystic duct. On the other hand, chronic cholecystitis is a long-standing inflammation resulting from repeated episodes of acute cholecystitis or chronic irritation from gallstones.

Choice B reason:

This statement is incorrect. While gallstones can be a cause of both acute and chronic cholecystitis, gallbladder cancer is not a typical cause of either condition.

Choice C reason:

This statement is incorrect. Acute cholecystitis can affect individuals of all age groups, and age is not a differentiating factor between acute and chronic cholecystitis.

Choice D reason:

This statement is incorrect. Both acute and chronic cholecystitis may require surgical intervention, depending on the severity and complications of the condition. Lifestyle modifications are often recommended to prevent gallstone formation and manage symptoms, but they are not the sole treatment for acute cholecystitis.

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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 caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

Correct Answer is C

Explanation

A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who underwent a cholecystectomy. Which statement by the client indicates a need for further teaching?

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A nurse is assessing a client with suspected acute cholecystitis. Which of the following physical examination findings is a hallmark sign of this condition?

A nurse is caring for a client with acute cholecystitis. Which of the following clinical manifestations is most commonly associated with this condition?

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

A nurse is caring for a client with cholecystitis who is experiencing severe abdominal pain. Which of the following actions should the nurse take first?

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?

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?