A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?
"They are going to examine my gallbladder and ducts."
"I'll have an endoscope put down my throat so they can see my gallbladder."
"Soon those shock waves will get rid of my gallstones."
"They'll put medication into my gallbladder to dissolve the stones."
The Correct Answer is B
A. This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B. An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C. This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D. This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. These values are within the normal range and not indicative of chronic kidney disease.
B. While an elevated BUN is present, the serum creatinine level is within the normal range, which is not consistent with chronic kidney disease.
C. Both BUN and serum creatinine levels are elevated, indicating impaired kidney function and consistent with chronic kidney disease.
D. These values are within the normal range and not indicative of chronic kidney disease.
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"A,C"}}
Explanation
Elevated BUN and creatinine levels are common indicators of impaired kidney function, which can be seen in chronic kidney disease (CKD) and glomerulonephritis. Flank pain is often associated with UTIs but can also occur in glomerulonephritis. Decreased RBCs (red blood cells) can be a sign of glomerulonephritis due to the loss of blood cells in the urine. Fever is typically associated with infection, making it more indicative of a UTI.
Peripheral edema is is most commonly associated with CKD and glomerulonephritis due to the retention of fluids and sodium. Hypertension is a common finding in CKD and can also be seen in glomerulonephritis.
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