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 B
Explanation
A. A negative waveform indicates a downward deflection from the baseline on an ECG tracing, which may correspond to electrical activity such as depolarization or repolarization of cardiac chambers.
B. An isoelectric line represents the baseline on an ECG tracing when there is no net electrical activity occurring in the heart. It appears flat and represents a period of electrical silence.
C. A downward deflection on an ECG tracing refers to a negative waveform, as mentioned above.
D. A positive waveform on an ECG tracing indicates an upward deflection from the baseline, representing electrical activity such as depolarization or repolarization.
Correct Answer is D
Explanation
A. Tight fitting clothes may put pressure on the T-tube insertion site and interfere with drainage. Loose-fitting clothing is recommended.
B. Showering is typically preferred over baths to keep the T-tube site clean and dry.
Baths may increase the risk of infection.
C. Regular emptying of the drainage bag helps prevent excessive weight, which can pull on the T-tube and cause discomfort or displacement. However, it should necessarily be emptied at the same time each day.
D. Securing the tubing to clothing helps prevent accidental dislodgment or pulling on the T-tube, reducing the risk of complications.
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