Ch. 54- Care of Patients with Problems of the Biliary System and

Quiz
•
Science
•
University
•
Hard
Standards-aligned
Katelynn Dunlap
Used 16+ times
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34 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
Complete the sentence.
The typical cause of acute cholecystitis is gallstone obstruction in the ____ duct.
cystic duct
common bile duct
2.
MULTIPLE SELECT QUESTION
5 mins • 1 pt
S/S of acute cholecystitis?
URQ pain
fever and chills
nausea and vomiting
excessive gas
Answer explanation
•Pain triggered by high-fat meal or high-volume meal
•Pain that radiates from RUQ to right shoulder
Late
1. steatorrhea, jaundice, clay-colored stools and dark urine yellowing sclera (icterus)
3.
MULTIPLE SELECT QUESTION
5 mins • 1 pt
Which are the patient at highest risk for cholecystitis?
female
>40 years of age
obesity
fertile women
DM type 1
Answer explanation
Risk Factors
•Being Female.
•Pregnancy: Fertile
•Hormone therapy.
•Older age: > Forty
•Being Native American or Hispanic.
•Obesity: Fat
•Losing or gaining weight rapidly.
•Diabetes
4.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
Which patient is more likely to develop gallstones?
45-year-old Caucasian female with a family history of gallstones
55-year-old African-American male with a history of diabetes mellitus
62-year-old Hispanic/Latino female with a history of irritable bowel syndrome
60-year-old obese, American-Indian female with a history of diabetes mellitus
Answer explanation
Risk factors for developing gallstones include female gender, obesity, family history of gallstones, diabetes mellitus, American-Indian and Caucasian descent, rapid change in weight, and advanced age. More risk factors increase the likelihood of developing gallstones.
5.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
A patient with chronic cholecystitis reports pruritus, clay-colored stools, and voiding dark, frothy urine. Which laboratory analysis is a priority in the nurse’s assessment of this patient?
Lipase level
Total bilirubin
Liver function tests
WBC count
Answer explanation
Excess circulating bilirubin present with chronic cholecystitis is responsible for pruritus and changes in stool and urine color. Cholecystitis is associated with several risks including hepatic disease, pancreatitis, and peritonitis. Monitoring liver function, pancreatic laboratory values, and white blood cell counts is also very important.
6.
MULTIPLE SELECT QUESTION
5 mins • 1 pt
Nutrition management for cholecystitis?
high fiber diet
low fat diet
small, frequent meals
high protein diet
7.
MULTIPLE SELECT QUESTION
5 mins • 1 pt
Two most common causes of acute pancreatitis?
drinking excessive alcohol
gallstones
eating excessive amounts of sugar
overdosing insulin
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