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 C

Explanation

Choice A reason:

Misoprostol is not an antibiotic. It is a synthetic prostaglandin used to protect the stomach lining and prevent peptic ulcers, particularly in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B reason:

Misoprostol should be taken with meals to minimize gastrointestinal side effects. Taking it on an empty stomach may increase the risk of adverse effects.

Choice C reason:

This statement is correct. Misoprostol is contraindicated during pregnancy and can cause uterine contractions and birth defects. Clients taking misoprostol should use effective contraception to prevent pregnancy.

Choice D reason:

Misoprostol is not used to reduce stomach acid production. Instead, it helps protect the stomach lining by increasing mucus production and promoting bicarbonate secretion.

A. "Take sucralfate with meals to maximize its protective effects." B. "Crush the sucralfate tablets before swallowing for better absorption." C. "Avoid taking any antacids while on sucralfate to prevent interactions." D. "Sucralfate can cause drowsiness, so take it before bedtime."

Correct Answer is C

Explanation

Choice A reason:

Taking sucralfate with meals is not recommended, as it can reduce its effectiveness. Sucralfate should be taken on an empty stomach, at least 1 hour before meals, to allow it to form a protective barrier over the ulcerated areas.

Choice B reason:

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

Choice C reason:

This statement is correct. Taking antacids with sucralfate can reduce its effectiveness, as antacids can interfere with its therapeutic actions. Clients should avoid taking antacids together with sucralfate.

Choice D reason:

Sucralfate does not typically cause drowsiness, so taking it before bedtime is not necessary for this medication. It should be taken at regular intervals during the day as prescribed.

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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 client with peptic ulcer disease is prescribed misoprostol. Which of the following information should the nurse include in the client's medication education?

Correct Answer is C

Explanation

A client with a history of peptic ulcer disease is prescribed sucralfate as part of the preventive treatment plan. Which of the following instructions should the nurse provide to the client about taking sucralfate?

Correct Answer is C

Explanation

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain and vomiting. The healthcare provider orders an endoscopy to evaluate the extent of the ulceration. Which of the following explanations should the nurse provide to the client about the procedure?

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?

A client with peptic ulcer disease is prescribed a proton pump inhibitor (PPI) as part of the preventive treatment plan. Which of the following statements by the client indicates a need for further education about PPIs?

A nurse is caring for a client who recently underwent Helicobacter pylori eradication therapy for peptic ulcer disease. Which of the following instructions should the nurse provide to the client to prevent H. pylori reinfection?

A nurse is caring for a client who has undergone surgery for a peptic ulcer perforation. The client asks the nurse about the expected recovery time. Which of the following responses should the nurse provide?

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

A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?

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?