NR 464 FINAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS!!
Clinical manifestations of gallstones?
-Tachycardia, diaphoresis, prostration
-Residual tenderness in RUQ
-May be referred to shoulder/ scapula
-Occurs 3-6 hours after high-fat meal or when pt lies down
Clinical manifestations of chronic cholecystitis?
-Fat intolerance
-Dyspepsia
-Heartburrn
-Flatulence
Diagnostics for cholecystitis? (3)
-Ultrasonagraphy
-ERCP
-Percutaneous tranhepatic cholangiography
Lab test trend for cholecystitis?
High WBC, platelets, bilirubin, liver enzymes
General drug therapy for cholelithiasis?
-Analgesics, anticholinergics, fat-soluble vitamins, bile salts
-Cholestryamine (Questran) for pruritus
Nutritional therapy for cholelithiasis?
-Small, frequent meals with some fat
-Low saturated fat
-High fiber and calcium
-Avoid rapid weight loss, reduced-calorie if patient obese
, Acute cholecystitis management? (3)
-Pain control
-Infection control
-Fluid and electrolyte maintenance
Laparoscopic cholecystectomy removes which organ?
gallbladder
Post-operative nursing management for incisional cholecystectomy?
-Maintain adequate ventilation
-Pain control
-Maintain drainage tubes
-Liquid to regular diet after return of bowel sounds
Sphincter of Oddi function
Controls introduction of bile and pancreatic secretions into the duodenum
Clinical manifestations of acute pancreatitis?
-LUQ pain
-Sudden, deep piercing pain that is aggravated by eating
-Starts when recumbent
-Tachycardia, low BP
-Abdominal tenderness, crackles, distention
2 significant local complication of acute pancreatitis?
1. Pseudocyst- need to drain
2. Abscess- need prompt surgical drain
Nursing pain management for acute pancreatitis?
-IV opioids
-Frequent position changes (side-lying with HOB elevated 45 degrees), and knees up to abdomen
Best diet for acute pancreatitis after discharge?
100% VERIFIED ANSWERS!!
Clinical manifestations of gallstones?
-Tachycardia, diaphoresis, prostration
-Residual tenderness in RUQ
-May be referred to shoulder/ scapula
-Occurs 3-6 hours after high-fat meal or when pt lies down
Clinical manifestations of chronic cholecystitis?
-Fat intolerance
-Dyspepsia
-Heartburrn
-Flatulence
Diagnostics for cholecystitis? (3)
-Ultrasonagraphy
-ERCP
-Percutaneous tranhepatic cholangiography
Lab test trend for cholecystitis?
High WBC, platelets, bilirubin, liver enzymes
General drug therapy for cholelithiasis?
-Analgesics, anticholinergics, fat-soluble vitamins, bile salts
-Cholestryamine (Questran) for pruritus
Nutritional therapy for cholelithiasis?
-Small, frequent meals with some fat
-Low saturated fat
-High fiber and calcium
-Avoid rapid weight loss, reduced-calorie if patient obese
, Acute cholecystitis management? (3)
-Pain control
-Infection control
-Fluid and electrolyte maintenance
Laparoscopic cholecystectomy removes which organ?
gallbladder
Post-operative nursing management for incisional cholecystectomy?
-Maintain adequate ventilation
-Pain control
-Maintain drainage tubes
-Liquid to regular diet after return of bowel sounds
Sphincter of Oddi function
Controls introduction of bile and pancreatic secretions into the duodenum
Clinical manifestations of acute pancreatitis?
-LUQ pain
-Sudden, deep piercing pain that is aggravated by eating
-Starts when recumbent
-Tachycardia, low BP
-Abdominal tenderness, crackles, distention
2 significant local complication of acute pancreatitis?
1. Pseudocyst- need to drain
2. Abscess- need prompt surgical drain
Nursing pain management for acute pancreatitis?
-IV opioids
-Frequent position changes (side-lying with HOB elevated 45 degrees), and knees up to abdomen
Best diet for acute pancreatitis after discharge?
