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A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

"The test involves inserting a scope through your mouth to visualize the gallbladder."

"The procedure uses X-rays to assess your gallbladder after you swallow a contrast dye."

"A small sample of your gallbladder tissue will be removed for examination."

"The test involves a radioactive tracer injection to evaluate your gallbladder function."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Describing an endoscopy procedure, which is not involved in an oral cholecystogram, is not accurate.

Choice B reason:

This statement is correct. An oral cholecystogram (OCG) is a radiologic imaging test that involves swallowing a contrast dye, which outlines the gallbladder and bile ducts, allowing X-rays to visualize the presence of gallstones.

Choice C reason:

Removing a sample of the gallbladder tissue for examination would be a biopsy, not an oral cholecystogram.

Choice D reason:

A radioactive tracer injection is used in hepatobiliary iminodiacetic acid (HIDA) scan, not an oral cholecystogram.

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Correct Answer is C

Explanation

Choice A reason:

This statement is correct. Avoiding fatty foods in the diet can help prevent the formation of future gallstones, as it reduces the likelihood of bile becoming too concentrated and forming stones.

Choice B reason:

This statement is correct. Taking prescribed antibiotics until they are finished is essential to prevent infection and complications after surgery.

Choice C reason:

This statement indicates a need for further teaching. Clients who have undergone cholecystectomy should avoid strenuous physical activities, including regular exercise, for several weeks after the surgery to promote proper healing and prevent complications.

Choice D reason:

This statement is correct. Reporting any signs of infection or bleeding at the incision site is crucial for the early detection and management of potential complications after surgery.

A. Antacids for heartburn relief. B. Statins for cholesterol management. C. Antibiotics for an infection. D. Hormonal contraceptives for birth control.

Correct Answer is D

Explanation

Choice A reason:

Antacids are not typically associated with an increased risk of gallstone formation.

Choice B reason:

Statins are used for cholesterol management and are not directly associated with gallstone formation.

Choice C reason:

Antibiotics are used to treat infections and do not significantly impact the risk of gallstone formation.

Choice D reason:

This statement is correct. Hormonal contraceptives, especially those containing estrogen, are associated with an increased risk of gallstone formation due to their impact on cholesterol metabolism in the gallbladder.

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A client is scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who underwent cholecystectomy for cholelithiasis. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

Correct Answer is D

Explanation

A client with cholelithiasis is experiencing severe pain and has a fever with chills. The nurse suspects the presence of an infection. Which action should the nurse take first?

A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

A client has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

A nurse is providing patient education to a client with a history of cholelithiasis. The client asks about dietary modifications to prevent gallstones. What is the nurse's best response?

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?