NR 325 Final Exam 2023

NR 325 Final Exam 2023 inflammation of the gallbladder; this is typically caused by gallstones that block the ducts that lead out of the gallbladder, which results in a backup of bile. Cholecystitis (cholelithiasis) what disease process do these clinical manifestations represent? -RUQ pain that radiates to the right shoulder -Fever with chills -Tachycardia Cholecystitis Brainpower Read More name a few risk factors of cholecystitis High fat diet, obesity, age over 40 what kind of diet can a client that was just diagnosed with cholecystitis have? NPO. No eating or drinking allowed because eating can cause more pain and complications. this is a treatment procedure done for cholecystitis, it causes shock waves to break up stones that are smaller in size. Lithotripsy when can a patient NOT have a lithotripsy procedure done? When the stones are too large, then require surgery (cholecystectomy) this is termed as the surgical removal of the gallbladder Cholecystectomy what are the two cholecystectomy procedures called? Open cholecystectomy Laparoscopic cholecystectomy name a few risk factors that can cause a patient to have gallstones (cholelithiasis) Female gender, multiple pregnancies, women, over 40, sedentary, lifestyles, estrogen therapy although the cause of cholelithiasis is unknown, __________ has been proven to be involved by mixing with bile and helping stones form Cholesterol Clients with cholelithiasis are more prone to developing this disease process Pancreatitis How is pancreatitis caused by cholelithiasis? Gall stones will get caught in small duct, causing pancreatitis Patients with pancreatitis often have the clinical manifestation of __________ Jaundice This is known as the infection of a gallbladder due to a stone obstruction from cholelithiasis or biliary sludge Cholecystitis in patients with cholecystitis, the gallbladder will appear _____ and ____ Edematous & hyperemic these are risk factors of developing cholecystitis, because they slow down the bowels Limited mobility, fasting, anesthesia, diabetes these kind of meals can lead to pain in patients with cholecystitis Fatty meals if patients with cholecystitis become extremely ill, they will develop ___________ Diaphoresis this is termed as chronic inflammation of the gallbladder that increases your chance of developing gallbladder cancer Chronic cholecystitis in patients with chronic cholecystitis, the _____ _____ maybe occluded and will require _________ treatment cystic duct may be occluded antibiotics Gangrenous cholecystitis, pancreatitis, cholangitis, biliary cirrhosis, and subphrenic abscesses are all complications of .... Chronic cholecystitis patients with cholecystitis will be given _______ for pain control. Opioids Clients postop of cholecystitis must be given ________ to help expand their lungs, so they don't develop _______ ______ (atelectasis). analgesics splinted respirations how does urine and stool appear in patients with cholecystitis? Dark amber urine Clay colored stool this is the diagnostic test that is performed for patients with cholecystitis to see the gallstones Ultrasound this diagnostic procedure goes into the gallbladder and scoop out the stones in patients with cholecystitis ERCP How will patients with cholecystitis laboratory test appear? ** LFT, WBC, bilirubin LFT elevation Increased WBC count Increased serum & urinary bilirubin levels Increased serum amylase levels Absence urobilinogen in urine The surgical procedure is preferred in patients with cholecystitis Laparoscopic cholecystectomy when would a patient have an open cholecystectomy performed? If their gallbladder is perforated or if they have gallbladder cancer what must patients avoid after having an open cholecystectomy procedure performed? Heavy, lifting for 4 to 6 weeks to avoid the dehiscence of incisions What is the therapeutic effect of Ursodiol and Chenodial in clients with cholecystitis? These two medications are used in oral dissolution therapy that dissolves the stones this diagnostic test is used for visualization, dilation, placement of stents, or when stones are removed with a basket or pass in the patient's stoo