The nurse is teaching a patient with an acute attack of cholecystitis about nutritional ...

The nurse is teaching a patient with an acute attack of cholecystitis about nutritional interventions. Which patient statement indicates additional teaching is required?
 
  1. I need to stop eating and drinking everything for a while.
  2. I may need a tube inserted into my nose that goes all the way into my stomach.
  3. I may be prescribed vitamins B and C.
  4. I may need extra bile salts to promote health.

Question 2

A patient with cholelithiasis is recovering from extracorporeal shock wave lithotripsy. Which statements indicate that the patient remembers the procedure accurately?
 
  Select all that apply.
  1. It didn't take long, just a few hours.
  2. They gave me some medication in my IV. I didn't feel much.
  3. Afterwards the nurses kept asking me if my abdomen hurt or if I was nauseated.
  4. I was glad I could move around a lot during the procedure.
  5. They used a big machine to guide the shock waves to the stones.

Question 3

When preparing a patient for an intravenous pyelogram (IVP), the nurse reviews diagnostic data. Which finding should the nurse report to the healthcare provider before sending the patient for the test?
 
  1. blood urea nitrogen (BUN) 55 mg/dL
  2. serum creatinine 1.3 mg/dL
  3. urine culture <10,000 organisms/mL
  4. residual urine of 80 mL

Question 4

A patient has been given instructions about a laparoscopic cholecystectomy. Which patient statement indicates further teaching is needed?
 
  1. I should be able to go home within a day after the procedure.
  2. I will probably have bandages over the puncture sites.
  3. I am glad I won't need to have an open cholecystectomy.
  4. I will tell the nurse if I feel nauseated after surgery.

Question 5

A patient scheduled for a laparoscopic cholecystectomy asks the nurse why a surgical consent for a laparotomy must also be completed. How should the nurse respond?
 
  1. By signing both now, you'll never have to sign another one. We'll keep the extra on file for the future.
  2. Surgeons base their decision on whether to do the procedure laparoscopically or with a full incision on many factors. With this signed, the surgeon has options.
  3. You will be ready if the laparoscopic operating rooms are busy today.
  4. The surgeon will start the procedure laproscopically but may need to make an incision to complete the procedure.

Question 6

The nurse is reviewing pathophysiology concepts to understand what is occurring with an adult patient who has abdominal pain and a serum conjugated bilirubin level of 1.2 mg/dL. What should the nurse suspect is occurring with this patient?
 
  1. a disease that requires phototherapy
  2. a disorder that causes large amounts of red blood cell death
  3. a disorder of the biliary system
  4. a small bowel obstruction

Question 7

A patient with cholelithiasis has a serum amylase level of 300 units/L. What should the nurse consider as the most likely explanation for the laboratory finding?
 
  1. The gallstone is causing acute cholecystitis.
  2. The gallstone has migrated to the neck of the pancreas.
  3. The gallstone has caused bile to back into the pancreas.
  4. The gallstone is blocking the common bile duct.

Question 8

The nurse is assessing a patient with cholelithiasis. Which statements by the patient indicate a progression to cholecystitis?
 
  Select all that apply.
  1. I've been in terrible pain for 2 hours.
  2. I'm hot and sweating, then cold and shivering.
  3. The pain's in the same location as when I had appendicitis.
  4. I need an emesis basin; I've vomited four times.
  5. My abdomen and my back both hurt.