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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| 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? | show 🗑
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| show | -Female
-Overweight
-over the age of 40
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| show | Administer cholestyramine
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| 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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| 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. | 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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| show | “It is best to do a bedside bath because you want to keep the dressing dry”
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| show | “I will teach the patient to resume normal activities in 2 weeks.”
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| Which nursing interventions will be most effective to alleviate nausea and vomiting by decreasing gallbladder stimulation in a patient with cholecystitis? | show 🗑
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Created by:
Lightnning54
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