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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. The glucose tolerance test evaluates how well the pancreatic islet cells (which produce insulin) regulate blood glucose levels. It is used to assess endocrine function in chronic pancreatitis.
B. ERCP (endoscopic retrograde cholangiopancreatography) is used to visualize the pancreatic and biliary ducts but does not assess islet cell function.
C. Pancreatic biopsy is used to diagnose pancreatic cancer or masses, not to evaluate endocrine function.
D. Abdominal ultrasonography may show structural changes but does not provide information about the pancreas's ability to produce insulin.

A. "If you are going to use up the vial within 1 month, it can be kept at room temperature." B. "If a vial of insulin will be used up within 21 days, it may be kept at room temperature." C. "If a vial of insulin will be used up within 2 weeks, it may be kept at room temperature." D. "If a vial of insulin will be used up within 1 week, it may be kept at room temperature."

Correct Answer is A

Explanation

A. Most insulin vials can be stored at room temperature for up to 28–30 days after opening. This avoids discomfort from cold injections and maintains insulin potency within the safe-use period.
B. Although safe, 21 days is shorter than necessary and may cause patients to discard insulin too early.
C. Two weeks is too conservative and does not reflect standard insulin stability.
D. One week significantly underestimates the insulin’s usability and could result in premature disposal of viable medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a recent diagnosis of chronic pancreatitis and is undergoing diagnostic testing to determine pancreatic islet cell function. The nurse should anticipate what diagnostic test?

Correct Answer is A

Explanation

A nurse is conducting a class on how to self-manage insulin regimens. A client asks how long a vial of insulin can be stored at room temperature before it "goes bad." What would be the nurse's best answer?

Correct Answer is A

Explanation

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