lOMoARcPSD|3013804
Chapter 54 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 54: Concepts of Care for Patients With Problems of the Biliary System and
Pancreas
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. What would the
nurse include in client teaching about this diagnostic test?
a.
“You’ll have to drink a contrast medium right before the test.”
b.
“You’ll need to do a bowel prep the nursing before the test.”
c.
“You’ll be able to drink liquids up until the test begins.”
d.
“You’ll have a large camera close to you during the test.”
ANS: D
Clients having a HIDA scan are NPO and receive an injectable nuclear medicine contrast.
No bowel preparation is required. A large camera is close to the client for most of the test
which can be a problem for clients who are claustrophobic.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Cholecystitis, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A client has an external percutaneous transhepatic biliary catheter inserted for a biliary
obstruction. What health teaching about catheter care would the nurse provide for the client?
a.
“Cap the catheter drain at night to prevent leakage and skin damage.”
b.
“Position the drainage bag lo w er t ha n th e c at he te r insertion site.”
c. G ounce
“Irrigate the catheter with an R Aof Dsaline
E S L night.”
every AB. C O M
d.
“Pierce a hole in the top of the drainage bag to get rid of odors.”
ANS: B
An external temporary or permanent catheter drains bile by gravity into a bag that collects
bile. Therefore, the drainage bag should be lower that the catheter insertion site. The catheter
should not be capped or irrigated, and no holes should be made in the bag to prevent bile
from having contact with the skin.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Biliary obstruction, Management
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. After teaching a client who has a history of cholelithiasis, the nurse assesses the client’s
understanding. Which menu selection indicates that the client understands the dietary
teaching?
a.
Lasagna, tossed salad with Italian dressing, and low-fat milk
b.
Grilled cheese sandwich, tomato soup, and coffee with cream
c.
Cream of potato soup, Caesar salad with chicken, and a diet cola
d.
Roasted chicken breast, baked potato with chives, and orange juice
ANS: D
Chapter 54 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 54: Concepts of Care for Patients With Problems of the Biliary System and
Pancreas
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan. What would the
nurse include in client teaching about this diagnostic test?
a.
“You’ll have to drink a contrast medium right before the test.”
b.
“You’ll need to do a bowel prep the nursing before the test.”
c.
“You’ll be able to drink liquids up until the test begins.”
d.
“You’ll have a large camera close to you during the test.”
ANS: D
Clients having a HIDA scan are NPO and receive an injectable nuclear medicine contrast.
No bowel preparation is required. A large camera is close to the client for most of the test
which can be a problem for clients who are claustrophobic.
DIF: Remembering TOP: Integrated Process: Teaching/Learning
KEY: Cholecystitis, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A client has an external percutaneous transhepatic biliary catheter inserted for a biliary
obstruction. What health teaching about catheter care would the nurse provide for the client?
a.
“Cap the catheter drain at night to prevent leakage and skin damage.”
b.
“Position the drainage bag lo w er t ha n th e c at he te r insertion site.”
c. G ounce
“Irrigate the catheter with an R Aof Dsaline
E S L night.”
every AB. C O M
d.
“Pierce a hole in the top of the drainage bag to get rid of odors.”
ANS: B
An external temporary or permanent catheter drains bile by gravity into a bag that collects
bile. Therefore, the drainage bag should be lower that the catheter insertion site. The catheter
should not be capped or irrigated, and no holes should be made in the bag to prevent bile
from having contact with the skin.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Biliary obstruction, Management
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. After teaching a client who has a history of cholelithiasis, the nurse assesses the client’s
understanding. Which menu selection indicates that the client understands the dietary
teaching?
a.
Lasagna, tossed salad with Italian dressing, and low-fat milk
b.
Grilled cheese sandwich, tomato soup, and coffee with cream
c.
Cream of potato soup, Caesar salad with chicken, and a diet cola
d.
Roasted chicken breast, baked potato with chives, and orange juice
ANS: D
