A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

"The HIDA scan will visualize the blood flow in your liver."

"This scan will assess the function and patency of your bile ducts."

"The HIDA scan will evaluate the motility of your small intestine."

"This scan will provide detailed images of your pancreas."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Visualizing blood flow in the liver is not the purpose of a HIDA scan. This type of scan is primarily used to assess the biliary system.

Choice B reason:

This statement is correct. A HIDA scan is used to assess the function and patency of the bile ducts. It involves injecting a radioactive tracer that is taken up by the liver and excreted into the bile. The scan can visualize the flow of bile and detect any obstruction or abnormality in the biliary system.

Choice C reason:

Evaluating the motility of the small intestine is not the purpose of a HIDA scan. It is used specifically for assessing the biliary system.

Choice D reason:

Providing detailed images of the pancreas is not the primary purpose of a HIDA scan, although it can sometimes provide some information about the pancreas if the tracer reaches the duodenum and enters the common bile duct.

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Correct Answer is C

Explanation

Choice A reason:

Percussion of the left lower quadrant is not relevant to assess for Boas' sign, which involves the right upper quadrant.

Choice B reason:

Deep palpation of the epigastric region is not associated with Boas' sign. Boas' sign involves palpation of the right subscapular area.

Choice C reason:

This statement is correct. Boas' sign is elicited by palpating the right upper quadrant during inspiration. The client may experience referred pain to the right subscapular area, indicating irritation of the phrenic nerve by the inflamed gallbladder.

Choice D reason:

Auscultation of the left upper quadrant is not relevant to assessing for Boas' sign, which involves the right upper quadrant.

A. Elevated serum amylase levels B. Increased serum creatinine levels C. Elevated white blood cell count D. Low serum bilirubin levels

Correct Answer is C

Explanation

Choice A reason:

Elevated serum amylase levels are more indicative of pancreatitis, not cholecystitis.

Choice B reason:

Increased serum creatinine levels are suggestive of kidney dysfunction and are not directly related to cholecystitis.

Choice C reason:

This statement is correct. Cholecystitis is associated with inflammation and infection, which can lead to an elevated white blood cell count (leukocytosis).

Choice D reason:

Low serum bilirubin levels are not consistent with cholecystitis, which can cause obstructive jaundice and elevated bilirubin levels due to bile duct obstruction.

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A client with suspected cholecystitis is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. The client asks the nurse about the purpose of this test. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client suspected of having acute cholecystitis. Which of the following techniques should the nurse use to elicit Boas' sign?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a client with suspected cholecystitis. Which of the following findings is consistent with this condition?

Correct Answer is C

Explanation

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