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Exam 32: Gallbladder,pancreatic,and Bile Duct Dysfunction

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Question 1

Multiple Choice

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After providing a volume replacement in a client,a nurse still finds the client to be hypotensive.Which action should the nurse perform in the client to provide effective care?

A) Initiate use of a nasogastric suction
B) Initiate use of a central catheter
C) Initiate use of a transhepatic T-tube
D) Initiate use of a percutaneous transhepatic biliary catheter

E) A) and C)
F) A) and B)

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Question 2

Multiple Choice

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A nurse is assessing a client who has had pain in the right upper quadrant for4 hours.The client reports that the pain is radiating to the upper thoracic region.A laboratory report suggests elevated liver enzymes and serum bilirubin.What condition should the nurse suspect from the findings?

A) Biliary tract disorder
B) Biliary colic
C) Cholecystitis
D) Acute pancreatitis

E) A) and B)
F) A) and C)

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Question 3

Multiple Choice

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Which diagnostic procedure would a primary health-care provider use to confirm advanced chronic pancreatitis with exocrine insufficiency in a client?

Which hormone is released by the pancreas?

A nurse is caring for a client who has cholecystitis and was diagnosed with pruritus.Which medication should the nurse expect the health-care provider to prescribe for the client?

A nurse is assessing a client who has episodic abdominal pain,constipation,and flatulence.Upon physical assessment and review of the laboratory findings,the nurse concludes that the client has jaundice and elevated serum amylase.Which condition should the nurse suspect in the client?

A client is brought to the hospital because of severe abdominal pain,nausea,and vomiting.The client reports increased pain in the abdomen and in the epigastric region radiating to the back when lying supine.Upon physical assessment,the nurse finds that the client has fever and hypotension.What should the nurse infer from these findings?

Which factors may lead to an acute inflammation of the pancreas?

Which hormone produced by the intestine triggers the release of pancreatic enzymes?

A nurse finds increased glucose levels in a client who has chronic pancreatitis.What should the nurse interpret from the finding?

A nurse instructor is teaching a group of nursing students about laparoscopic cholecystectomy.Which statement of a student nurse indicates effective learning?

A nurse instructor is teaching a group of nursing students about the pathophysiology of cholecystitis.The nursing instructor asks,"What happens during chronic cholecystitis?" Which statement of a student nurse indicates effective learning?

A primary health-care provider prescribes dilaudid to a client who has cholecystitis.What should the nurse anticipate from this finding?

Which complication should be suspected in a client who has an obstruction of the common bile duct?

Which client will benefit from early endoscopic retrograde cholangiopancreatography (ERCP) ?

Where does the liver release its bile?

The clinical reports of a client indicate high levels of bilirubin.What should the nurse infer from the report?

A nurse is reviewing Ranson's criteria to assess the severity of pancreatitis in a client.Which findings observed in the client by the nurse within a 48-hour period indicate that the client has chronic pancreatitis? Select all that apply.

A nurse is administering cholestyramine (Questran) to a client who is diagnosed with biliary disease.Which test should the primary health-care provider prescribe for the client to ensure safety in the client?

A physical examination of a client exhibits Cullen sign and Grey-Turner sign.Which condition should the nurse suspect in the client?