PrepU CH 44: Biliary Disorders

Which foods should be avoided following acute gallbladder inflammation? Cheese Mashed potatoes Cooked fruits Coffee

Cheese

The nurse instructs a client on care at home after a laparoscopic cholecystectomy. Which client statement indicates that teaching has been effective? "I can take a shower in a week." "I should remain on bed rest for several days." "I can drive after 2 weeks." "I should wash the site with mild soap and water."

"I should wash the site with mild soap and water."

A nurse cares for a client with interstitial pancreatitis. What client teaching will the nurse include when planning care for the client? "Normal function returns after about 2 weeks." "Inflammation spreads to the surrounding glands." "Tissue necrosis occurs within the pancreas." "Inflammation is confined to only the pancreas."

"Inflammation is confined to only the pancreas."

A client has a nasogastric (NG) tube for suction and is NPO after a pancreaticoduodenectomy. Which explanation made by the nurse is the major purpose of this treatment? "The tube allows toxins to be removed." "The tube allows the gastrointestinal tract to rest." "The tube provides relief from nausea and vomiting." "The tube helps control fluid and electrolyte imbalance."

"The tube allows the gastrointestinal tract to rest."

Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about how many months of medication with UDCA or CDCA for stones to dissolve? 13 to 18 3 to 5 6 to 12 1 to 2

6 to 12

A patient is receiving pharmacologic therapy with ursodeoxycholic acid or chenodeoxycholic-cholic acid for treatment of small gallstones. The patient asks the nurse how long the therapy will take to dissolve the stones. What is the best answer the nurse can give? 6 to 12 months 6 to 8 months 3 to 5 months 1 to 2 months

6 to 12 months

The nurse is caring for a client with a biliary disorder who has an elevated amylase level. If this elevation correlates to dysfunction, which body process does the nurse recognize may be impaired? Fat digestion Carbohydrate digestion Protein synthesis Protein digestion

Carbohydrate digestion

Which is a clinical manifestation of cholelithiasis? Clay-colored stools Nonpalpable abdominal mass Abdominal pain in the upper left quadrant Epigastric distress before a meal

Clay-colored stools

A nurse is teaching a client and the client's family about chronic pancreatitis. Which are the major causes of chronic pancreatitis? Caffeine consumption and acute pancreatitis Malnutrition and acute pancreatitis Acute hepatitis and alcohol consumption Alcohol consumption and smoking

Alcohol consumption and smoking

Which is a gerontological consideration associated with the pancreas? Increased bicarbonate output Increased calcium absorption Increased amount of fibrous material Increased rate of pancreatic secretion

Increased amount of fibrous material

A client diagnosed with acute pancreatitis is being transferred to another facility. The nurse caring for the client completes the transfer summary, which includes information about the client's drinking history and other assessment findings. Which assessment findings confirm the diagnosis of acute pancreatitis? Presence of blood in the client's stool and recent hypertension Adventitious breath sounds and hypertension Pain with abdominal distention and hypotension Presence of easy bruising and bradycardia

Pain with abdominal distention and hypotension

A client is admitted to the health care center with hyperglycemia, a 15-pound weight loss, and reports of vague upper and midabdominal pain that increases in intensity at night. The client' health history indicates alcoholism, smoking of a pack of cigarettes daily, and diabetes for the past 20 years. Upon examination the nurse finds swelling in the feet and abdominal ascites. Based on the clinical manifestations, which condition is the most likely diagnosis? Pancreatic carcinoma Cholecystitis Pancreatic pseudocysts Acute pancreatitis with edema

Pancreatic carcinoma

Which condition is the major cause of morbidity and mortality in clients with acute pancreatitis? Pancreatic necrosis MODS Tetany Shock

Pancreatic necrosis

Which of the following conditions is most likely to involve a nursing diagnosis of fluid volume deficit? Pancreatitis Peptic ulcer Cholecystitis Appendicitis

Pancreatitis

A client with acute pancreatitis reports muscle cramping in the lower extremities. What pathophysiology concept represents the reason the client is reporting this? Muscle pain related to referred pain manifestations Muscle spasm related to hypokalemia Tetany related to hypocalcemia Tetany related to hypercalcemia

Tetany related to hypocalcemia

Because clients with pancreatitis cannot tolerate high-glucose concentrations, total parental nutrition (TPN) should be used cautiously with them. Which of the following interventions has shown great promise in the prognosis of clients with severe acute pancreatitis? Administering oral analgesics around the clock Allowing a clear liquid diet during the acute phase Providing intensive insulin therapy Maintaining a high-Fowler's position

Providing intensive insulin therapy

A client is treated for gastrointestinal problems related to chronic cholecystitis. What pathophysiological process related to cholecystitis does the nurse understand is the reason behind the client's GI problems? Reduced or absent bile as a result of obstruction impacts digestion. Inflammation of the gallbladder causes pain and impacts gastric motility. Increased bile as a result of inflammation leads to indigestion. Contractile spasms of the gallbladder decreases appetite and leads to malnutrition.

Reduced or absent bile as a result of obstruction impacts digestion.

A client with pancreatitis is admitted to the medical intensive care unit. Which nursing intervention is most appropriate? Limiting I.V. fluid intake according to the physician's order Providing the client with plenty of P.O. fluids Providing generous servings at mealtime Reserving a site for a peripherally inserted central catheter (PICC)

Reserving a site for a peripherally inserted central catheter (PICC)

A nurse is teaching a client about the cause of acute pancreatitis. The nurse evaluates the teaching as effective when the client correctly identifies which condition as a cause of acute pancreatitis? Fibrosis and atrophy of the pancreatic gland Calcification of the pancreatic duct, leading to its blockage Use of loop diuretics to increase the incidence of pancreatitis Self-digestion of the pancreas by its own proteolytic enzymes

Self-digestion of the pancreas by its own proteolytic enzymes

A client with carcinoma of the head of the pancreas is scheduled for surgery. Which of the following should a nurse administer to the client before surgery? Vitamin B Oral bile acids Potassium Vitamin K

Vitamin K