NR 325 Exam 3 – Questions With Verified
Solutions
Colonoscopy Correct Answer - directly visualizes entire colon
up to ileocecal valve with flexible scope
What test are the colonscopy used for Correct Answer -
diagnose or to detect inflammatory bowel disease, polyps, tumors,
and diverticulosis and dilate strictures, it allows for the removal of
polys
Colonoscopy per-op Correct Answer - a bowel prep has to be
done the night before rally it is clear liquids and a enema or to drink
a gallon of GoLYTELY
What is the nursing care for colonoscopy post-op Correct Answer
- patient may experience abdominal cramps , observe for rectal
bleeding, and perforation
( malaise, abdominal distention ) Check V/S
What is a ERCP Correct Answer - Fiberoptic endoscope (using
fluoroscopy) is orally inserted into descending duodenum, then
common bile and pancreatic ducts are cannulated. Contrast medium
is injected into ducts and allows for direct visualization of
structures.
What are the nursing responsibility for ERCP pre-op Correct
Answer - Explain procedure to patient, including patient role.
Keep patient NPO 8 hr before procedure. Ensure consent form
signed. Administer sedation immediately before and during
procedure.
, What are the nursing responsibility for ERCP Correct Answer -
Check vital signs. Check for signs of perforation or infection. Be
aware that pancreatitis is most common complication. Check for
return of gag reflex.
What is a liver biopsy Correct Answer - Percutaneous
procedure that uses needle inserted between 6th and 7th or 8th and
9th intercostal spaces on the right side to obtain specimen of hepatic
tissue. Often done using ultrasound or CT guidance.
What are the nursing responsibility for a liver biopsy pre-op
Correct Answer - Check patient's coagulation status
(prothrombin time, clotting or bleeding time).
Ensure that patient's blood is typed and cross matched.
Take vital signs as baseline data.
Explain holding of breath after expiration when needle is inserted.
Ensure that informed consent has been signed.
What are the nursing responsibility for a liver biopsy Correct
Answer - Check vital signs to detect internal bleeding q15min ×
2, q30min × 4, q1hr × 4. Keep patient lying on right side for
minimum of 2 hr to splint puncture site. Keep patient in bed in flat
position for 12-14 hr. Assess patient for complications such as bile
peritonitis, shock, pneumothorax.
What is the range for Amylase Correct Answer - 30-122
What is the range for Lipase Correct Answer - 31-186
What is the range for Total Bilirubin Correct Answer - 0.2-1.2
mg
What is the range for AST Correct Answer - 10-30 U/L
Solutions
Colonoscopy Correct Answer - directly visualizes entire colon
up to ileocecal valve with flexible scope
What test are the colonscopy used for Correct Answer -
diagnose or to detect inflammatory bowel disease, polyps, tumors,
and diverticulosis and dilate strictures, it allows for the removal of
polys
Colonoscopy per-op Correct Answer - a bowel prep has to be
done the night before rally it is clear liquids and a enema or to drink
a gallon of GoLYTELY
What is the nursing care for colonoscopy post-op Correct Answer
- patient may experience abdominal cramps , observe for rectal
bleeding, and perforation
( malaise, abdominal distention ) Check V/S
What is a ERCP Correct Answer - Fiberoptic endoscope (using
fluoroscopy) is orally inserted into descending duodenum, then
common bile and pancreatic ducts are cannulated. Contrast medium
is injected into ducts and allows for direct visualization of
structures.
What are the nursing responsibility for ERCP pre-op Correct
Answer - Explain procedure to patient, including patient role.
Keep patient NPO 8 hr before procedure. Ensure consent form
signed. Administer sedation immediately before and during
procedure.
, What are the nursing responsibility for ERCP Correct Answer -
Check vital signs. Check for signs of perforation or infection. Be
aware that pancreatitis is most common complication. Check for
return of gag reflex.
What is a liver biopsy Correct Answer - Percutaneous
procedure that uses needle inserted between 6th and 7th or 8th and
9th intercostal spaces on the right side to obtain specimen of hepatic
tissue. Often done using ultrasound or CT guidance.
What are the nursing responsibility for a liver biopsy pre-op
Correct Answer - Check patient's coagulation status
(prothrombin time, clotting or bleeding time).
Ensure that patient's blood is typed and cross matched.
Take vital signs as baseline data.
Explain holding of breath after expiration when needle is inserted.
Ensure that informed consent has been signed.
What are the nursing responsibility for a liver biopsy Correct
Answer - Check vital signs to detect internal bleeding q15min ×
2, q30min × 4, q1hr × 4. Keep patient lying on right side for
minimum of 2 hr to splint puncture site. Keep patient in bed in flat
position for 12-14 hr. Assess patient for complications such as bile
peritonitis, shock, pneumothorax.
What is the range for Amylase Correct Answer - 30-122
What is the range for Lipase Correct Answer - 31-186
What is the range for Total Bilirubin Correct Answer - 0.2-1.2
mg
What is the range for AST Correct Answer - 10-30 U/L
