NURS 3138 Exam 4 Study Guide With
Solution
Examples of gallbladder dysfunction
cholelithiasis (stones)
cholecystitis (inflammation)
example of pancreatic dysfunction
pancreatitis
cholecystitis
acute or chronic inflammation of the gallbladder
can be calculous (stones) or acalculous (no stones)
what is someone with cholecystitis at risk for?
secondary infection and perforation
S/sx of cholecystitis
RUQ pain
may radiate to midsternal/right shoulder
nausea/vomiting
acute inflammation
risk factors for cholelithiasis
,4 Fs
fourty
fat (obesity)
female
fertile
s/sx of cholelithiasis
pain (depending on severity of stones
fullness
abdominal distension
RUQ pain
billary colic that follows a meal rich in fried or fatty foods
objective assessment for gallbladder disease
fever
jaundice/pruritus
clay colored stools
dark urine
labs to assess for gallbladder disease
CBC
PT/INR and PTT (clotting)
AST and ALT (liver enzymes)
,why is PT/INR and PTT important to look at when assesing for gallbladder
disease?
assess risk for bleeding
vitamin K isnt being digested so at risk for bleeding
diagnosis/treatment for gallbladder disease
ultrasound (90% accurate)
ERCP
nursing diagnoses for gallbladder disease
acute pain
risk for infection
nausea
imbalanced nutrition: less than body requirements
deficient knowledge
how do 80% of patients with mild acute gallbladder inflammation achieve
remission?
bowel rest
IV fluids
NG suction
Analgesics
Antiviotics
, what foods should someone with acute gallbladder inflammation avoid?
eggs
cream
prok
fried foods
cheese
rich dressings
gas-forming vegetables
alcohol
what kind of foods can exacerbate episodes of cholecystitis?
FATTY foods
what kind of foods should someone with acute gallbladder inflammation
include when advancing their diet?
low fat liquids
high protein supplements
skim milk
cooked fruits
rice/tapioca
lean meats
non-gas forming vegetables
Solution
Examples of gallbladder dysfunction
cholelithiasis (stones)
cholecystitis (inflammation)
example of pancreatic dysfunction
pancreatitis
cholecystitis
acute or chronic inflammation of the gallbladder
can be calculous (stones) or acalculous (no stones)
what is someone with cholecystitis at risk for?
secondary infection and perforation
S/sx of cholecystitis
RUQ pain
may radiate to midsternal/right shoulder
nausea/vomiting
acute inflammation
risk factors for cholelithiasis
,4 Fs
fourty
fat (obesity)
female
fertile
s/sx of cholelithiasis
pain (depending on severity of stones
fullness
abdominal distension
RUQ pain
billary colic that follows a meal rich in fried or fatty foods
objective assessment for gallbladder disease
fever
jaundice/pruritus
clay colored stools
dark urine
labs to assess for gallbladder disease
CBC
PT/INR and PTT (clotting)
AST and ALT (liver enzymes)
,why is PT/INR and PTT important to look at when assesing for gallbladder
disease?
assess risk for bleeding
vitamin K isnt being digested so at risk for bleeding
diagnosis/treatment for gallbladder disease
ultrasound (90% accurate)
ERCP
nursing diagnoses for gallbladder disease
acute pain
risk for infection
nausea
imbalanced nutrition: less than body requirements
deficient knowledge
how do 80% of patients with mild acute gallbladder inflammation achieve
remission?
bowel rest
IV fluids
NG suction
Analgesics
Antiviotics
, what foods should someone with acute gallbladder inflammation avoid?
eggs
cream
prok
fried foods
cheese
rich dressings
gas-forming vegetables
alcohol
what kind of foods can exacerbate episodes of cholecystitis?
FATTY foods
what kind of foods should someone with acute gallbladder inflammation
include when advancing their diet?
low fat liquids
high protein supplements
skim milk
cooked fruits
rice/tapioca
lean meats
non-gas forming vegetables
