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A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

To remove gallstones from the common bile duct.

To assess gallbladder function and contraction.

To obtain a biopsy of the gallbladder.

To visualize the biliary tree and locate obstruction.

Answer and Explanation

The Correct Answer is D

Choice A reason:

PTC is not used to remove gallstones from the common bile duct. It is primarily a diagnostic procedure.

Choice B reason:

Gallbladder function and contraction are not the primary focus of a percutaneous transhepatic cholangiography (PTC).

Choice C reason:

Obtaining a biopsy of the gallbladder is not the primary purpose of a PTC. It is mainly used for imaging and diagnostic purposes.

Choice D reason:

This statement is correct. PTC is a diagnostic imaging procedure that involves injecting contrast dye into the biliary tree to visualize the bile ducts and identify any obstructions, such as gallstones, which could be causing cholelithiasis.

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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.

A. "Lithotripsy is a surgical procedure that involves removing the gallbladder." B. "During lithotripsy, sound waves are used to break up the gallstones into smaller pieces." C. "Lithotripsy is a medication that helps dissolve gallstones." D. "Lithotripsy is a diagnostic test to identify the location of the gallstones."

Correct Answer is B

Explanation

Choice A reason:

Lithotripsy is not a surgical procedure to remove the gallbladder. It is a non-invasive method to break up gallstones.

Choice B reason:

This statement is correct. Lithotripsy involves using sound waves to break up gallstones into smaller fragments that can pass through the bile ducts.

Choice C reason:

Lithotripsy is not a medication. It is a procedure used to treat gallstones.

Choice D reason:

Lithotripsy is not a diagnostic test. It is a therapeutic procedure to treat gallstones.

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A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

Correct Answer is B

Explanation

A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

A client with a history of cholelithiasis is interested in natural remedies to prevent the recurrence of gallstones. Which herbal supplement should the nurse caution the client against using?

A nurse is caring for a client with cholelithiasis experiencing biliary colic. Which medication should the nurse anticipate administering to provide pain relief?

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

A client is recovering from laparoscopic cholecystectomy and is concerned about potential complications. What should the nurse include in the discharge teaching to address the client's concerns?

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 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?

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?