Chapter 50: Assessment and Management of Patients With Biliary Disorders 5

"This pain is caused from the gas used to inflate your abdominal area during surgery. Sitting upright in a chair, walking, or using a heating pad may ease the discomfort."

A client discharged after a laparoscopic cholecystectomy calls the surgeon's office reporting severe right shoulder pain 24 hours after surgery. Which statement is the correct information for the nurse to provide to this client?

Administering morphine I.V. as ordered

A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client?

cholelithiasis

A client with calculi in the gallbladder is said to have

Daily salt intake would be restricted to 2 grams or less. The diuretic will be held if the serum sodium level decreases to <134 m Eq/L. Aldactone, an aldosterone-blocking agent would be used.

Management of a patient with ascites includes nutritional modifications and diuretic therapy. Which of the following interventions would a nurse expect to be part of patient care? Select all that apply.

Cheese

Which foods should be avoided following acute gallbladder inflammation?

Pancreatitis

Which of the following conditions is most likely to involve a nursing diagnosis of fluid volume deficit?

It visualizes the gallbladder and bile duct.

A client is scheduled for a cholecystogram for later in the day. What is the nurse's understanding on the diagnostic use of this exam?

6 to 12

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?

Muscle twitching and finger numbness

The nurse identifies a potential collaborative problem of electrolyte imbalance for a client with severe acute pancreatitis. Which assessment finding alerts the nurse to an electrolyte imbalance associated with acute pancreatitis?

Pancreatitis

Which condition is most likely to have a nursing diagnosis of fluid volume deficit?