A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

Abdominal computed tomography (CT) scan

Magnetic resonance imaging (MRI) of the gallbladder

Abdominal ultrasound

Endoscopic retrograde cholangiopancreatography (ERCP)

Answer and Explanation

The Correct Answer is C

Choice A reason:

Abdominal CT scan can provide detailed images, but it is not typically the first-line imaging study for diagnosing cholecystitis. It may be used if complications are suspected.

Choice B reason:

MRI of the gallbladder can provide high-resolution images, but it is not the first-line imaging study for diagnosing cholecystitis.

Choice C reason:

This statement is correct. Abdominal ultrasound is the first-line imaging study for diagnosing cholecystitis. It can visualize the gallbladder, detect gallstones, and assess for signs of inflammation, such as gallbladder wall thickening and pericholecystic fluid.

Choice D reason:

ERCP is an invasive procedure used to visualize the biliary and pancreatic ducts, but it is not typically used as a first-line diagnostic test for cholecystitis.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Sucralfate is best taken on an empty stomach at least 1 hour before meals to allow it to form a protective barrier over the ulcer and provide optimal therapeutic effects.

Choice B reason:

Crushing sucralfate tablets is not recommended, as it may interfere with the medication's ability to adhere to the ulcer site and provide protection.

Choice C reason:

Taking sucralfate with antacids may reduce its effectiveness, as antacids can interfere with its therapeutic actions. It is best to take sucralfate separately from antacids.

Choice D reason:

It is essential to avoid taking sucralfate with other medications, especially those that require an acidic environment for absorption. This is because sucralfate can decrease the absorption of certain drugs.

A. "Limit your intake of fiber-rich foods to avoid gastrointestinal irritation." B. "Avoid spicy and acidic foods that can increase stomach acid production." C. "Increase your consumption of carbonated beverages to promote digestion." D. "Include caffeine-containing beverages in your diet to stimulate gastric motility."

Correct Answer is B

Explanation

Choice A reason:

Limiting fiber-rich foods is not a recommended preventive strategy for peptic ulcer disease. In fact, fiber can aid digestion and promote bowel regularity, which may be beneficial for some clients with peptic ulcers.

Choice B reason:

This statement is correct. Spicy and acidic foods can irritate the stomach lining and increase stomach acid production, potentially worsening symptoms for clients with peptic ulcers.

Choice C reason:

Increasing consumption of carbonated beverages is not advised, as they can cause bloating and increased gas production, which may exacerbate symptoms for clients with peptic ulcers.

Choice D reason:

Caffeine-containing beverages should be limited or avoided, as caffeine can stimulate gastric acid secretion and may worsen symptoms for clients with peptic ulcers.

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A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peptic ulcer disease who is prescribed sucralfate. Which of the following instructions should the nurse provide to the client about taking sucralfate?

Correct Answer is A

Explanation

A client with peptic ulcer disease asks the nurse about dietary recommendations to prevent ulcer recurrence. Which of the following statements should the nurse include in the client's education?

Correct Answer is B

Explanation

A nurse is caring for a client with peptic ulcer disease who is prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for arthritis. Which of the following statements by the client indicates a need for further education?

A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?

A client with peptic ulcer disease reports experiencing frequent abdominal pain, especially during mealtimes. Which of the following nursing interventions should the nurse implement to alleviate the client's pain?

A client is undergoing an abdominal computed tomography (CT) scan to evaluate suspected cholecystitis. The client expresses concern about potential radiation exposure. Which of the following responses should the nurse provide?

A nurse is providing discharge instructions to a client diagnosed with peptic ulcer disease. Which of the following statements by the client indicates a need for further teaching?

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) for acid suppression. The client asks the nurse about the best time to take the medication. Which of the following responses should the nurse provide?

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?