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A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

"You need to fast for 24 hours before the test."

"You should avoid drinking water for 6 hours before the test."

"You can eat a low-fat meal before the test."

"There are no specific dietary restrictions for this test."

Answer and Explanation

The Correct Answer is C

Choice A reason:

Fasting for 24 hours is not necessary for an abdominal ultrasound for cholelithiasis evaluation.

Choice B reason:

Avoiding drinking water for 6 hours before the test is not required for an abdominal ultrasound.

Choice C reason:

This statement is correct. Clients undergoing an abdominal ultrasound for suspected cholelithiasis may be asked to eat a low-fat meal before the test to stimulate gallbladder contraction and enhance visualization of the gallbladder and bile ducts.

Choice D reason:

While there may be no specific dietary restrictions, eating a low-fat meal is often recommended to facilitate the evaluation of cholelithiasis during the ultrasound.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Ursodeoxycholic acid is a medication used to dissolve cholesterol gallstones over time by reducing the cholesterol content of bile and promoting the solubility of cholesterol in bile.

Choice B reason:

While ursodeoxycholic acid can help prevent gallstone formation in some cases, its primary use is for dissolving existing cholesterol gallstones.

Choice C reason:

Ursodeoxycholic acid may have some anti-inflammatory properties, but its primary purpose is to dissolve gallstones.

Choice D reason:

Ursodeoxycholic acid is not typically used for pain relief during gallstone attacks. It is used for long-term management to dissolve gallstones and reduce the need for surgical intervention.

A. "The test involves inserting a scope through your mouth to visualize the gallbladder." B. "The procedure uses X-rays to assess your gallbladder after you swallow a contrast dye." C. "A small sample of your gallbladder tissue will be removed for examination." D. "The test involves a radioactive tracer injection to evaluate your gallbladder function."

Correct Answer is B

Explanation

Choice A reason:

Describing an endoscopy procedure, which is not involved in an oral cholecystogram, is not accurate.

Choice B reason:

This statement is correct. An oral cholecystogram (OCG) is a radiologic imaging test that involves swallowing a contrast dye, which outlines the gallbladder and bile ducts, allowing X-rays to visualize the presence of gallstones.

Choice C reason:

Removing a sample of the gallbladder tissue for examination would be a biopsy, not an oral cholecystogram.

Choice D reason:

A radioactive tracer injection is used in hepatobiliary iminodiacetic acid (HIDA) scan, not an oral cholecystogram.

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A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with cholelithiasis is prescribed ursodeoxycholic acid. Which statement by the client indicates understanding of the medication's purpose?

Correct Answer is A

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?

Correct Answer is B

Explanation

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 client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

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?

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 nurse is conducting a health education session for a group of individuals at risk of developing cholelithiasis. Which lifestyle modification should the nurse recommend to help prevent the formation of gallstones?

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

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?

A nurse is caring for a client with cholelithiasis. The client reports feeling bloated and experiences excessive gas after meals. Which term should the nurse use to describe this symptom?