The nurse is caring for a client who has just returned from the ERCP removal of gallstones. The nurse should monitor the client for signs of what complications?
Pain and peritonitis
Bleeding and perforation
Acidosis and hypoglycemia
Gangrene of the gallbladder and hyperglycemia
The Correct Answer is B
A. While pain and peritonitis may occur in other abdominal conditions, they are not the most immediate or specific complications following ERCP.
B. Bleeding and perforation are serious potential complications of ERCP due to instrumentation of the biliary and gastrointestinal tract — requiring close post-procedure monitoring.
C. Acidosis and hypoglycemia are unrelated to ERCP and not expected complications of this procedure.
D. Gangrene of the gallbladder and hyperglycemia are not common complications post-ERCP, especially after stone removal rather than acute cholecystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While adequate sleep supports overall health and metabolic function, it does not significantly reduce the body’s need for insulin in the short term.
B. Low stimulation may reduce stress but has minimal direct impact on glucose metabolism.
C. Exercise increases insulin sensitivity, promotes glucose uptake by muscle cells, and significantly lowers blood glucose levels, making it the most effective nonpharmacologic strategy to reduce insulin needs.
D. A low-fat diet may benefit cardiovascular health, but carbohydrate intake and physical activity have a more direct impact on insulin needs and glucose control.
Correct Answer is C
Explanation
A. Air embolism involves respiratory distress and is unrelated to local IV site findings.
B. Phlebitis presents with redness, warmth, pain, and sometimes a palpable cord, not coolness.
C. Infiltration occurs when IV fluid leaks into surrounding tissue causing edema and coolness at the site.
D. Fluid overload is a systemic condition, not localized to the IV site.
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