NURS 220 EXAM 4 PRACTICE QUESTIONS 2023 A+ GRADE

NURS 220 EXAM 4 PRACTICE QUESTIONS 2023 A+ GRADE BILIARY & PANCREATIC - ANSWER-. Priority finding for acute cholecystitis? - ANSWER-Tachycardia Priority action for a client scheduled for an open cholecystectomy? - ANSWERDemonstrate ways to deep breath and cough (to prevent lung infection like pneumonia) Following a laparoscopic cholecystectomy, which instructions would the nurse include? - ANSWER--Take a shower instead of bath -Wait 1 week after surgery before returning to work -Notify the surgeon of any redness/swelling at the incision site A nurse caring for a pt who recently had the gallbladder removed knows the pt will have difficulties digesting large amounts of which type of nutrients? - ANSWER-Fats Which of the following is utilized to treat cholecystitis? Select all that apply. a. Lithotripsy b. Home remedies to dislodge the stone c. Medications to break up the stone d. Laparoscopic cholecystectomy e. Open cholecystectomy - ANSWER-A, D, E A 42-year-old female client arrives in the emergency department exhibiting RUQ pain radiating to the right shoulder, chills, tachycardia, and vomiting. The nurse suspects the client will be diagnosed with which condition? a. Cholecystitis b. Pancreatitis c. Ulcerative colitis d. Crohn's disease - ANSWER-A A 43-year-old female client underwent a laparoscopic cholecystectomy 8 hours ago. Which of the following actions should be implemented postoperatively? Select all that apply. a. Early ambulation b. Turn, cough, and deep breathing exercises c. Assess the incision sites for redness and swelling d. Assist the client to take a bath in the unit hub e. Consult occupational therapy to assist with activities of daily living - ANSWER-A, B, C Occupational therapy should not be consulted unless the pt had trouble with activities of daily living prior to surgery A client with a gallstone blockage is sent to the intensive care unit. Which symptoms will the client be experiencing? Select all that apply. a. Severe pain on the LLQ b. Sclera of the eyes will be yellow c. Increased bilirubin level d. Dark urine output e. Steatorrhea - ANSWER-B, C, D, E Which of the following are risk factors for cholelithiasis? Select all that apply. a. Eating a high-fat diet b. Obesity with BMI 30 c. Age over 40 yrs old d. Female pts e. Male pts - ANSWER-A, B, C, D What is the pathophysiology of cholecystitis? a. Cholecystitis is primarily caused by an obstruction of a stone creating biliary outflow b. Cholecystitis is identified malabsorption with mucosal injury to the small intestines following ingestion of gluten c. Cholecystitis is thought to be caused by stool formation that has impacted the rectum d. Cholecystitis is thought to be caused by appendiceal lumen obstruction - ANSWER-A What are the risk factors of developing cholecystitis? Select all that apply. a. Age over 40 b. High-fat diet c. Obesity d. Female e. Diabetes - ANSWER-ALL Which diagnostic test is utilized to diagnose cholecystitis? a. X-ray of abdomen b. Ultrasound of abdomen c. MRI of abd d. Colonoscopy - ANSWER-B A client is admitted with cholecystitis. Which clinical manifestations would the client be experiencing? Select all that apply. a. RUQ pain radiating to the right shoulder b. Sclera of the eyes are yellow c. Fever and chills d. Tachycardia e. Vomiting bile - ANSWER-ALL Which of the following complications can result post a cholecystectomy? Select all that apply. Continues...