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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 D

Explanation

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.

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

Correct Answer is D

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 with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

A nurse is providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?

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 client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

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?

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

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