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?
Maintain NPO (nothing by mouth) status for 8 hours before the procedure.
Administer a cleansing enema on the morning of the procedure.
Withhold all medications for 24 hours before the procedure.
Provide a high-fat meal before the procedure.
The Correct Answer is A
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.
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Related Questions
Correct Answer is C
Explanation
Choice A reason:
Indigestion and discomfort are potential issues, but the primary reason for a low-fat diet after cholecystectomy is related to gallstone prevention and liver function.
Choice B reason:
There is no direct link between fatty foods and medication absorption in the context of post-cholecystectomy care.
Choice C reason:
This statement is correct. Following a low-fat diet after cholecystectomy helps prevent the formation of new gallstones and reduces stress on the liver, as the gallbladder's role in storing and releasing bile for
fat digestion is compromised.
Choice D reason:
While fatty foods can lead to digestive problems for some individuals, the primary concern in a client post-cholecystectomy is gallstone prevention and liver support.
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.
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