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concept of nursing 1 Test

Enter the letter for the matching Answer
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1.
An ultrasound examination indicates the patient has a dilated common bile duct with gallstones. What is the priority nursing intervention for this patient?
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2.
Which nursing interventions will be most effective to alleviate nausea and vomiting by decreasing gallbladder stimulation in a patient with cholecystitis?
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3.
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.
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4.
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?
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5.
Which actions taken by the nurse will reduce potential complications from the injection?
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6.
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?
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7.
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?
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8.
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?
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9.
Which statement made by the student nurse when caring for a patient who has had an open cholecystectomy requires correction?
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10.
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?
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11.
Which care team recommendation will best help alleviate distention?
A.
-Female -Overweight -over the age of 40
B.
“It is best to do a bedside bath because you want to keep the dressing dry”
C.
“We will help you walk in the hall to decrease distention.”
D.
Start an intravenous infusion of lactated Ringer’s solution
E.
--
F.
-Apply gentle pressure to the injection site -Choose a 23-gauge needle to administer the medication
G.
“I will teach the patient to resume normal activities in 2 weeks.”
H.
-Insert a nasogastric tube -Establish NPO (nothing by mouth) status for the patient
I.
“Do you have pain after consuming a high-fat meal?”
J.
Prepare the patient for an endoscopic retrograde cholangiopancreatography (ERCP)
K.
Administer cholestyramine

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