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Exam 32: Gallbladder, Pancreatic, and Bile Duct Dysfunction

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Question 1

Multiple Choice

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Which hormone is released by the pancreas?

A) Glucagon
B) Secretin
C) Both A and B
D) None of the above

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

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Question 2

Multiple Choice

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

A) The client has stones in the common bile duct.
B) The client has decreased pancreatic enzymes.
C) Both A and B
D) None of the above

E) B) and D)
F) All of the above

Correct Answer

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A

Question 3

Multiple Choice

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The radiographic investigation reports of a client show the presence of stones in the common bile duct. Which complications should a 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?

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

A nurse is caring for a client who reports abdominal distention and pain in the right upper quadrant. The nurse suspects a biliary disorder in the client. Which medication should the nurse expect the health-care provider to prescribe for the client to relieve pain?

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 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 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?

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

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?

Which is a common risk factor that leads one susceptible to forming gallstones?

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

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?

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

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

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?

Which suggestions should a nurse provide to a client who has chronic pancreatitis?

Where does the liver release its bile?

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