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. Adequate hydration is essential for preventing UTIs as it helps flush bacteria from the urinary tract.
B. Voiding after sexual intercourse can help flush out bacteria that may have entered the urinary tract during intercourse, reducing the risk of UTIs.
C. Wiping from back to front after urination can introduce bacteria from the anal area to the urethra, increasing the risk of UTIs. The correct technique is to wipe from front to back.
D. Bubble baths can introduce irritants and bacteria into the vaginal and perineal area, increasing the risk of UTIs. Avoiding bubble baths is a recommended prevention measure.

A. The resting heart rate increases when digoxin is taken." B. "Digoxin raises blood pressure." C. "Digoxin slows the heart rate." D. The force of heart contractions is increased with digoxin." E. "Digoxin decreases ectopic beats."

Correct Answer is ["C","D","E"]

Explanation

A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone

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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 nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

Correct Answer is C

Explanation

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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