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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Lemon-glycerin swabs can dry out and irritate oral tissues, increasing the risk of oral mucositis and infection.
B. Using a firm toothbrush may be too harsh for irritated mucous membranes and can increase the risk of injury and bleeding.
C. Gentle oral care is essential to avoid further irritation of the mucous membranes.

D. Flossing may be too abrasive for irritated mucous membranes and can increase the risk of bleeding and injury.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

The nurse should prioritize the client's immediate clinical needs based on the assessment data provided.

The first action should be to address the client's agitation, which is a sign of distress and can lead to safety issues. Therefore, the nurse should first address the client's "fall precautions" to ensure safety and prevent potential harm due to the client's disorientation and agitation.

Following this, the nurse should address the client's "urine collection" for urinalysis and culture and sensitivity (C&S), as it is critical to identify the cause of the client's febrile state and incontinence of foul-smelling urine, which could indicate an infection. This will allow for appropriate antibiotic therapy to be administered based on the sensitivity results.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient receiving chemotherapy for chronic myelocytic leukemia has irritates mucous membranes. Which of the following mouth care interventions would the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client in the emergency department (ED). Exhibits Complete the following sentence by using the list of options. The nurse should first address the client’s followed by the client’s

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

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