Cholelithiasis/Cholecystitis
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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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. | show 🗑
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An ultrasound examination indicates the patient has a dilated common bile duct with gallstones. What is the priority nursing intervention for this patient? | show 🗑
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show | “Do you have pain after consuming a high-fat meal?”
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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? | show 🗑
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show | Administer cholestyramine
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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. | show 🗑
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Which care team recommendation will best help alleviate distention? | show 🗑
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show | Start an intravenous infusion of lactated Ringer’s solution
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show | --
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show | -Apply gentle pressure to the injection site
-Choose a 23-gauge needle to administer the medication
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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? | show 🗑
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Which statement made by the student nurse when caring for a patient who has had an open cholecystectomy requires correction? | show 🗑
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show | -Insert a nasogastric tube
-Establish NPO (nothing by mouth) status for the patient
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Created by:
Lightnning54
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