HHP 1300 NURS:3138- Exam 4 | University of Iowa |
UPDATED Questions with 100% Verified Answers
Q1: examples of gallbladder dysfunction
A: cholelithiasis (stones)
cholecystitis (inflammation)
Q2: example of pancreatic dysfunction
A: pancreatitis
Q3: cholecystitis
A: acute or chronic inflammation of the gallbladder
can be calculous (stones) or acalculous (no stones)
Q4: what is someone with cholecystitis at risk for?
A: secondary infection and perforation
Q5: S/sx of cholecystitis
A: RUQ pain
may radiate to midsternal/right shoulder
nausea/vomiting
acute inflammation
Q6: risk factors for cholelithiasis
A: 4 Fs
fourty
fat (obesity)
female
fertile
Q7: s/sx of cholelithiasis
A: pain (depending on severity of stones
fullness
abdominal distension
RUQ pain
billary colic that follows a meal rich in fried or fatty foods
Q8: objective assessment for gallbladder disease
A: fever
jaundice/pruritus
clay colored stools
dark urine
,Q9: labs to assess for gallbladder disease
A: CBC
PT/INR and PTT (clotting)
AST and ALT (liver enzymes)
Q10: why is PT/INR and PTT important to look at when assesing for
gallbladder disease?
A: assess risk for bleeding
vitamin K isnt being digested so at risk for bleeding
Q11: diagnosis/treatment for gallbladder disease
A: ultrasound (90% accurate)
ERCP
Q12: nursing diagnoses for gallbladder disease
A: acute pain
risk for infection
nausea
imbalanced nutrition: less than body requirements
deficient knowledge
Q13: how do 80% of patients with mild acute gallbladder
inflammation achieve remission?
A: bowel rest
IV fluids
NG suction
Analgesics
Antiviotics
Q14: what foods should someone with acute gallbladder
inflammation avoid?
A: eggs
cream
prok
fried foods
cheese
rich dressings
gas-forming vegetables
alcohol
Q15: what kind of foods can exacerbate episodes of cholecystitis?
A: FATTY foods
, Q16: what kind of foods should someone with acute gallbladder
inflammation include when advancing their diet?
A: low fat liquids
high protein supplements
skim milk
cooked fruits
rice/tapioca
lean meats
non-gas forming vegetables
bread
coffee
tea
Q17: pharmacological interventions for gallbladder disease
A: analgesics
anti-emetics
IV fluids
UDCA/CDCA
Mono-octanoin/Methyl tertiary butyl ether
Q18: endoscopic retrograde cholangiopancreatography (ERCP)
A: stone removal
can also carry medicine to stone to dissolve it
Q19: nursing implication for ERCP pre-procedure
A: educate patient on procedure and their role
NPO
obtain consent
place an IV
Q20: nursing implications for ERCP post-procedure
A: monitor patient condition/vital signs
assess for signs of perforation or infection
monitor for side effects of any medications administered during procedure
risk for pancreatitis
Q21: laproscopic cholecystectomy
A: carbon dioxide to inflate the abodmen
fiberoptic scope with camera
removed through abdominal incision
may require a drain
Q22: what should be monitored for post laproscopic
cholecystectomy
UPDATED Questions with 100% Verified Answers
Q1: examples of gallbladder dysfunction
A: cholelithiasis (stones)
cholecystitis (inflammation)
Q2: example of pancreatic dysfunction
A: pancreatitis
Q3: cholecystitis
A: acute or chronic inflammation of the gallbladder
can be calculous (stones) or acalculous (no stones)
Q4: what is someone with cholecystitis at risk for?
A: secondary infection and perforation
Q5: S/sx of cholecystitis
A: RUQ pain
may radiate to midsternal/right shoulder
nausea/vomiting
acute inflammation
Q6: risk factors for cholelithiasis
A: 4 Fs
fourty
fat (obesity)
female
fertile
Q7: s/sx of cholelithiasis
A: pain (depending on severity of stones
fullness
abdominal distension
RUQ pain
billary colic that follows a meal rich in fried or fatty foods
Q8: objective assessment for gallbladder disease
A: fever
jaundice/pruritus
clay colored stools
dark urine
,Q9: labs to assess for gallbladder disease
A: CBC
PT/INR and PTT (clotting)
AST and ALT (liver enzymes)
Q10: why is PT/INR and PTT important to look at when assesing for
gallbladder disease?
A: assess risk for bleeding
vitamin K isnt being digested so at risk for bleeding
Q11: diagnosis/treatment for gallbladder disease
A: ultrasound (90% accurate)
ERCP
Q12: nursing diagnoses for gallbladder disease
A: acute pain
risk for infection
nausea
imbalanced nutrition: less than body requirements
deficient knowledge
Q13: how do 80% of patients with mild acute gallbladder
inflammation achieve remission?
A: bowel rest
IV fluids
NG suction
Analgesics
Antiviotics
Q14: what foods should someone with acute gallbladder
inflammation avoid?
A: eggs
cream
prok
fried foods
cheese
rich dressings
gas-forming vegetables
alcohol
Q15: what kind of foods can exacerbate episodes of cholecystitis?
A: FATTY foods
, Q16: what kind of foods should someone with acute gallbladder
inflammation include when advancing their diet?
A: low fat liquids
high protein supplements
skim milk
cooked fruits
rice/tapioca
lean meats
non-gas forming vegetables
bread
coffee
tea
Q17: pharmacological interventions for gallbladder disease
A: analgesics
anti-emetics
IV fluids
UDCA/CDCA
Mono-octanoin/Methyl tertiary butyl ether
Q18: endoscopic retrograde cholangiopancreatography (ERCP)
A: stone removal
can also carry medicine to stone to dissolve it
Q19: nursing implication for ERCP pre-procedure
A: educate patient on procedure and their role
NPO
obtain consent
place an IV
Q20: nursing implications for ERCP post-procedure
A: monitor patient condition/vital signs
assess for signs of perforation or infection
monitor for side effects of any medications administered during procedure
risk for pancreatitis
Q21: laproscopic cholecystectomy
A: carbon dioxide to inflate the abodmen
fiberoptic scope with camera
removed through abdominal incision
may require a drain
Q22: what should be monitored for post laproscopic
cholecystectomy
