NSG 3800 Exam 4 Questions and Answers
with Verified Solutions | Latest Updated 2026
Cholecystitis s/s Pain
Tenderness
Rigidity/RUQ abdomen that may radiate to
midsternal area or right shoulder/back
Cholecystitis patho/etiology Persistent irritation to gallbladder wall from
cholelithiasis (stones)
Diabetes & obesity contribute
Untreated can lead to increased risk of
cancer &
sepsis
Calculous cholecystitis vs calculous has stones
Acalculous acalculous has no stones
cholecystitis
,Acalculous theory Speculation/theory cause is alterations in
fluids &
electrolytes; alterations in regional blood
flow in
visceral circulation
Bile stasis & increased viscosity of bile are
also
thought to play a role
Occurs after major surgical procedures
(makes
diagnosis difficult at times)
Severe trauma
Burns
Other associated factors
Torsion
TPN
Cystic duct obstruction
Primary bacterial infections of gallbladder
Multiple blood transfusions
, Cholecystitis ERCP (diagnosis) Endoscopic retrograde
cholangiopancreatography
Allows direct visualization of structures
Examines hepatobiliary system via
side-viewing
fiberoptic endoscope
Multiple position changes required during
the
procedure to pass endoscope.
Patient in left semi-prone position
Preparation & Procedure
NPO 6-8 hours prior to procedure
Moderate sedation
Need someone to drive them home
observe for s/s of perforation or infection
s/p
procedure
No ice chips until gag reflex is back
Cholelithiasis s/s RUQ pain
Jaundice
Dark colored urine
Grey/clay looking stool
biliary colic after eating heavy meal
Vit A,D,E, & K deficiency
Cholelithiasis nutrition AVOID
considerations eggs
cream
pork
fried food
cheese
rich dressings
gas-forming veggies (broccoli)
ETOH
with Verified Solutions | Latest Updated 2026
Cholecystitis s/s Pain
Tenderness
Rigidity/RUQ abdomen that may radiate to
midsternal area or right shoulder/back
Cholecystitis patho/etiology Persistent irritation to gallbladder wall from
cholelithiasis (stones)
Diabetes & obesity contribute
Untreated can lead to increased risk of
cancer &
sepsis
Calculous cholecystitis vs calculous has stones
Acalculous acalculous has no stones
cholecystitis
,Acalculous theory Speculation/theory cause is alterations in
fluids &
electrolytes; alterations in regional blood
flow in
visceral circulation
Bile stasis & increased viscosity of bile are
also
thought to play a role
Occurs after major surgical procedures
(makes
diagnosis difficult at times)
Severe trauma
Burns
Other associated factors
Torsion
TPN
Cystic duct obstruction
Primary bacterial infections of gallbladder
Multiple blood transfusions
, Cholecystitis ERCP (diagnosis) Endoscopic retrograde
cholangiopancreatography
Allows direct visualization of structures
Examines hepatobiliary system via
side-viewing
fiberoptic endoscope
Multiple position changes required during
the
procedure to pass endoscope.
Patient in left semi-prone position
Preparation & Procedure
NPO 6-8 hours prior to procedure
Moderate sedation
Need someone to drive them home
observe for s/s of perforation or infection
s/p
procedure
No ice chips until gag reflex is back
Cholelithiasis s/s RUQ pain
Jaundice
Dark colored urine
Grey/clay looking stool
biliary colic after eating heavy meal
Vit A,D,E, & K deficiency
Cholelithiasis nutrition AVOID
considerations eggs
cream
pork
fried food
cheese
rich dressings
gas-forming veggies (broccoli)
ETOH
