AA 1 CHAPTER 59 ADAPTIVE QUIZZING. CORRECTLY ANSWERED
AA 1 CHAPTER 59 ADAPTIVE QUIZZING.
we have you roll on your other side?"
"I'm going to take a small sample and send it to the lab."
The nurse suspects that which patient is at highest risk for developing gallstones?
Obese male with a history of chronic obstructive pulmonary disease
Obese female on hormone replacement therapy
Thin male with a history of coronary artery bypass grafting
Thin female who has recently given birth
A patient who has undergone an open cholecystectomy 12 hours prior has a Jackson-Pratt (JP)
drain. The nurse empties the drainage and notes bile-stained serosanguineous fluid. Which
nursing action is correct?
Contact the provider to report a possible surgical infection.
Notify the provider that the patient may have a perforation of the bile duct.
Raise the drainage system above the site of insertion to minimize blood loss.
Record the amount and color of the fluid and continue to monitor the patient.
What elevated blood level indicates inflammation in a patient diagnosed with cholecystitis?
White blood cell count
Lactate dehydrogenase
Serum alkaline phosphate
Aspartate aminotransferase
The nurse is teaching a patient about extracorporeal shockwave lithotripsy. What statement by
the patient indicates a need for further teaching?
"I will sit in 12 inches of water."
,AA 1 CHAPTER 59 ADAPTIVE QUIZZING. CORRECTLY ANSWERED
"The stones will pass through my digestive system."
"The shockwaves will turn the big stones into small stones."
"I may need to take ursodeoxycholic acid after this procedure."
A patient with cholecystitis has jaundice and icterus. These signs are typical of which type of
cholecystitis?
Acalculous
Acute
Calculous
Chronic
What patient has the highest risk for development of cholecystitis?
28-year-old Caucasian male who just had gastric bypass
55-year-old American Indian female with Crohn's disease
38-year-old African American male patient with elevated cholesterol
32-year-old African American female oncology patient receiving total parenteral nutrition (TPN)
A patient who has cholesterol-based gallstones and good gallbladder function is interested in
nonsurgical management options for this condition. Which other factor must be present for this
patient to be a candidate for a nonsurgical approach?
Ability to tolerate iodine
Absence of infection
Low serum cholesterol
Normal weight
A female patient is scheduled for a cholecystectomy by natural orifice transluminal endoscopic
surgery (NOTES). Which area is most commonly used for inserting the endoscope during this
procedure?
Mouth
Vagina
Rectum
Umbilicus
Which diagnostic results lead the nurse to suspect that a patient may have gallbladder disease?
Increased white blood cell (WBC) count, visualization of calcified gallstones, edema of the
gallbladder wall
Decreased WBC count, visualization of calcified gallstones, increased alkaline phosphatase
Increased WBC count, visualization of noncalcified gallstones, edema of the gallbladder wall
Decreased WBC count, visualization of noncalcified gallstones, increased alkaline phosphatase
Which finding is expected in a patient who has a liver function abnormality?
Increased white blood cell (WBC) count
Decreased level of lactate dehydrogenase
Decreased level of aspartate aminotransferase
Increase in serum levels of alkaline phosphatase
, AA 1 CHAPTER 59 ADAPTIVE QUIZZING. CORRECTLY ANSWERED
A patient who is just undergone a laparoscopic cholecystectomy is complaining of shoulder pain.
What is likely the cause of this pain?
Lack of mobility
Carbon dioxide gas
Positioning during surgery
Remaining pain from gallstones
The patient is evaluated for use of extracorporeal shockwave lithotripsy for treatment of
cholelithiasis. What findings should the nurse notify the health care provider about?
BMI of 27
Upper abdominal pain
Cholesterol-based stones
Poor gallbladder function
What medication would a patient be prescribed after extracorporeal shock wave lithotripsy
(ESWL) for treatment of cholelithiasis to dissolve remaining fragments of stones?
Ketorolac
Morphine
Gadolinium
Ursodeoxycholic acid
An older patient diagnosed with cholecystitis presents with acute confusion and minimal pain.
The family is concerned that the patient is confused and wants to know why the patient did not
have other symptoms associated with cholecystitis. What statement by the nurse is most
appropriate?
"I’ll have the health care provider come and talk to you."
"Older patients often don't have normal symptoms of cholecystitis."
"The patient probably wasn't able to tell you because of the confusion."
"Most of the time, confusion is the only thing the patients present with."
Which patients are suitable candidates for extracorporeal shock wave lithotripsy (ESWL) to treat
gallstones?
Patient with normal body weight
Patient with severe biliary obstruction
Patient with cancer of the gallbladder
Patient with cholesterol-based stones
Patient with good gallbladder function
A patient who has undergone an open cholecystectomy reports mild to moderate nausea. Which
nursing action is correct?
Administer an antiemetic as prescribed as soon as possible.
Give the patient clear liquids and monitor the patient's response.
Notify the provider that the patient may have an abdominal obstruction.
Withhold antiemetic medications until the patient has increased nausea.
What are the factors that increase the risk of cholelithiasis?
AA 1 CHAPTER 59 ADAPTIVE QUIZZING.
we have you roll on your other side?"
"I'm going to take a small sample and send it to the lab."
The nurse suspects that which patient is at highest risk for developing gallstones?
Obese male with a history of chronic obstructive pulmonary disease
Obese female on hormone replacement therapy
Thin male with a history of coronary artery bypass grafting
Thin female who has recently given birth
A patient who has undergone an open cholecystectomy 12 hours prior has a Jackson-Pratt (JP)
drain. The nurse empties the drainage and notes bile-stained serosanguineous fluid. Which
nursing action is correct?
Contact the provider to report a possible surgical infection.
Notify the provider that the patient may have a perforation of the bile duct.
Raise the drainage system above the site of insertion to minimize blood loss.
Record the amount and color of the fluid and continue to monitor the patient.
What elevated blood level indicates inflammation in a patient diagnosed with cholecystitis?
White blood cell count
Lactate dehydrogenase
Serum alkaline phosphate
Aspartate aminotransferase
The nurse is teaching a patient about extracorporeal shockwave lithotripsy. What statement by
the patient indicates a need for further teaching?
"I will sit in 12 inches of water."
,AA 1 CHAPTER 59 ADAPTIVE QUIZZING. CORRECTLY ANSWERED
"The stones will pass through my digestive system."
"The shockwaves will turn the big stones into small stones."
"I may need to take ursodeoxycholic acid after this procedure."
A patient with cholecystitis has jaundice and icterus. These signs are typical of which type of
cholecystitis?
Acalculous
Acute
Calculous
Chronic
What patient has the highest risk for development of cholecystitis?
28-year-old Caucasian male who just had gastric bypass
55-year-old American Indian female with Crohn's disease
38-year-old African American male patient with elevated cholesterol
32-year-old African American female oncology patient receiving total parenteral nutrition (TPN)
A patient who has cholesterol-based gallstones and good gallbladder function is interested in
nonsurgical management options for this condition. Which other factor must be present for this
patient to be a candidate for a nonsurgical approach?
Ability to tolerate iodine
Absence of infection
Low serum cholesterol
Normal weight
A female patient is scheduled for a cholecystectomy by natural orifice transluminal endoscopic
surgery (NOTES). Which area is most commonly used for inserting the endoscope during this
procedure?
Mouth
Vagina
Rectum
Umbilicus
Which diagnostic results lead the nurse to suspect that a patient may have gallbladder disease?
Increased white blood cell (WBC) count, visualization of calcified gallstones, edema of the
gallbladder wall
Decreased WBC count, visualization of calcified gallstones, increased alkaline phosphatase
Increased WBC count, visualization of noncalcified gallstones, edema of the gallbladder wall
Decreased WBC count, visualization of noncalcified gallstones, increased alkaline phosphatase
Which finding is expected in a patient who has a liver function abnormality?
Increased white blood cell (WBC) count
Decreased level of lactate dehydrogenase
Decreased level of aspartate aminotransferase
Increase in serum levels of alkaline phosphatase
, AA 1 CHAPTER 59 ADAPTIVE QUIZZING. CORRECTLY ANSWERED
A patient who is just undergone a laparoscopic cholecystectomy is complaining of shoulder pain.
What is likely the cause of this pain?
Lack of mobility
Carbon dioxide gas
Positioning during surgery
Remaining pain from gallstones
The patient is evaluated for use of extracorporeal shockwave lithotripsy for treatment of
cholelithiasis. What findings should the nurse notify the health care provider about?
BMI of 27
Upper abdominal pain
Cholesterol-based stones
Poor gallbladder function
What medication would a patient be prescribed after extracorporeal shock wave lithotripsy
(ESWL) for treatment of cholelithiasis to dissolve remaining fragments of stones?
Ketorolac
Morphine
Gadolinium
Ursodeoxycholic acid
An older patient diagnosed with cholecystitis presents with acute confusion and minimal pain.
The family is concerned that the patient is confused and wants to know why the patient did not
have other symptoms associated with cholecystitis. What statement by the nurse is most
appropriate?
"I’ll have the health care provider come and talk to you."
"Older patients often don't have normal symptoms of cholecystitis."
"The patient probably wasn't able to tell you because of the confusion."
"Most of the time, confusion is the only thing the patients present with."
Which patients are suitable candidates for extracorporeal shock wave lithotripsy (ESWL) to treat
gallstones?
Patient with normal body weight
Patient with severe biliary obstruction
Patient with cancer of the gallbladder
Patient with cholesterol-based stones
Patient with good gallbladder function
A patient who has undergone an open cholecystectomy reports mild to moderate nausea. Which
nursing action is correct?
Administer an antiemetic as prescribed as soon as possible.
Give the patient clear liquids and monitor the patient's response.
Notify the provider that the patient may have an abdominal obstruction.
Withhold antiemetic medications until the patient has increased nausea.
What are the factors that increase the risk of cholelithiasis?
