Sherpath-Cholelithiasis/Cholecystitis Exam Questions and Answers

Sherpath-Cholelithiasis/Cholecystitis Exam Questions and Answers A patient presents to the emergency department and reports frequent small light-colored stools and fever. On examination, the nurse notes jaundice of the skin and sclera and a white blood cell (WBC) count of 15,000 /μL. An ultrasound examination indicates the patient has a dilated common bile duct with gallstones. What is the priority nursing intervention for this patient? Prepare the patient for ERCP During assessment of a patient for suspected cholelithiasis with biliary colic, a positive response to which question posed by the nurse would support the diagnosis? high-fat meal A 55-year-old obese African American woman has been admitted for a cholecystectomy to treat cholecystitis. The patient asks the nurse what factors might have predisposed her to cholecystitis. Which factors would the nurse mention? Female Overweight over the age of 40 What would be the best collaborative care intervention for a patient admitted for treatment of an acute episode of cholecystitis who reports dry skin and severe itching? admin cholestyramine A female patient scheduled for a laparoscopic cholecystectomy tells the nurse she is frightened because she has heard from others that the abdominal distention and pain after the surgery are severe. Which care team recommendation will best help alleviate distention? help walk in the hall to decrease distention A patient who is not a candidate for surgery is admitted to the hospital with acute cholecystitis and severe nausea and vomiting. Which collaborative care intervention will help maintain fluid and electrolyte balances? Lactated Ringers The nurse is preparing to administer an injection to a patient being treated for obstructive choledocholithiasis. The patient has been having severe episodes of nausea and vomiting and has a temperature of 100.2° F and bleeding gums. Which actions taken by the nurse will reduce potential complications from the injection? Gentle pressure 23g needle A patient who has undergone laparoscopic cholecystectomy asks the nurse about getting up and taking a shower. Which response by the nurse would be appropriate? best to do bedside bath because you want to keep the dressing dry Which statement made by the student nurse when caring for a patient who has had an open cholecystectomy requires correction? resume normal activities in 2 weeks