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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 C

Explanation

Choice A reason:

Anorexia refers to a loss of appetite and is not specific to the client's complaint.

Choice B reason:

Dysphagia refers to difficulty swallowing and is not related to the client's symptoms.

Choice C reason:

This statement is correct. Dyspepsia is the medical term for indigestion or discomfort in the upper abdomen, often associated with nausea and vomiting after eating fatty or heavy meals, which is consistent with the client's complaint.

Choice D reason:

Steatorrhea refers to the presence of excess fat in the feces and is not related to the client's symptoms.

A. "Rapid weight loss can lead to gallstone formation, especially if you consume a high-fat diet." B. "Rapid weight loss does not have any impact on gallstone formation or your gallbladder health." C. "Rapid weight loss can reduce the risk of gallstone formation due to decreased bile production." D. "Rapid weight loss may increase the risk of gallstone formation, especially if you follow a low-fat diet."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Rapid weight loss, especially when accompanied by a high-fat diet, can increase the risk of gallstone formation. Rapid weight loss can lead to an imbalance in bile composition, increasing the likelihood of gallstone development.

Choice B reason:

This statement is incorrect. Rapid weight loss can impact gallstone formation, and it is essential for the client to be aware of this potential risk.

Choice C reason:

Rapid weight loss does not reduce the risk of gallstone formation. In fact, it may increase the risk due to changes in bile composition and gallbladder motility.

Choice D reason:

This statement is incorrect. Rapid weight loss, especially with a low-fat diet, can contribute to gallstone formation due to changes in bile composition and gallbladder function.

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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 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?

Correct Answer is C

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?

Correct Answer is A

Explanation

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 underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

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A client has a history of cholelithiasis and wants to know which foods to avoid 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?

A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

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 has a family history of cholelithiasis and wants to know how to reduce their risk of developing gallstones. What is the nurse's best response?