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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A reason:

Offering antacid medication may provide relief for indigestion, but it will not address the severe pain and other symptoms associated with cholelithiasis.

Choice B reason:

Placing the client in a supine position may not be the most comfortable position for someone experiencing severe pain from cholelithiasis. The client may prefer to find a position that eases the pain.

Choice C reason:

This statement is correct. Administering prescribed pain medication should be the first action to address the client's severe pain and discomfort related to cholelithiasis.

Choice D reason:

Encouraging the client to rest is important, but it is not the priority action in managing the client's severe pain and other symptoms.

A. "You should avoid all dairy products to reduce the risk of gallstone formation." B. "Include a variety of fruits and vegetables in your diet to promote gallbladder health." C. "Consume large quantities of red meat to maintain proper bile composition." D. "Limit your fluid intake to decrease the workload on your gallbladder."

Correct Answer is B

Explanation

Choice A reason:

Avoiding all dairy products is not necessary for gallstone prevention, and it may lead to nutritional deficiencies.

Choice B reason:

This statement is correct. Including a variety of fruits and vegetables in the diet can promote gallbladder health and reduce the risk of gallstone formation.

Choice C reason:

Consuming large quantities of red meat is not a recommended preventive measure for gallstones. High red meat intake may actually increase the risk of gallstone formation.

Choice D reason:

Limiting fluid intake can lead to dehydration and increase the risk of gallstone formation. Adequate hydration is essential for gallbladder health.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

Correct Answer is C

Explanation

A nurse is providing patient education to a client with a history of cholelithiasis. The client asks about dietary modifications to prevent gallstones. What is the nurse's best response?

Correct Answer is B

Explanation

A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

A client with cholelithiasis is prescribed ursodeoxycholic acid. Which statement by the client indicates understanding of the medication's purpose?

A nurse is reviewing the laboratory results of a client with suspected cholelithiasis. Which lab finding would be most indicative of cholecystitis, a complication of cholelithiasis?

A nurse is caring for a client who had cholecystectomy for cholelithiasis. The client asks when they can resume their normal diet. What is the appropriate response by the nurse?

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?

A nurse is assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?