A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Maintain NPO (nothing by mouth) status for 8 hours before the procedure.

Administer a cleansing enema on the morning of the procedure.

Withhold all medications for 24 hours before the procedure.

Provide a high-fat meal before the procedure.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Clients undergoing ERCP should maintain NPO status for at least 8 hours before the procedure to ensure an empty stomach and reduce the risk of aspiration during sedation.

Choice B reason:

Administering a cleansing enema is not necessary for ERCP and is not a standard pre-procedure care intervention.

Choice C reason:

Withholding all medications for 24 hours before the procedure is not appropriate, as certain medications may be essential and should be discussed with the healthcare provider.

Choice D reason:

Providing a high-fat meal before the procedure is not recommended, as clients should maintain NPO status before ERCP.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. The nurse's priority is to manage the client's pain effectively by administering prescribed pain medication.

Choice B reason:

Notifying the surgeon may be necessary if there are signs of complications, but managing the client's pain is the immediate priority.

Choice C reason:

Applying a cold pack may help with pain and swelling in some cases, but the nurse's priority is to administer pain medication first.

Choice D reason:

Instructing the client to perform deep breathing exercises is important for postoperative recovery, but it does not address the immediate need for pain management.

A. "You should avoid eating any foods high in fiber to prevent gallstone formation." B. "Stay well-hydrated and maintain a healthy weight to reduce your risk of gallstones." C. "Consume a diet high in saturated fats to promote proper bile production." D. "Limit physical activity to avoid stress on the gallbladder and bile ducts."

Correct Answer is B

Explanation

Choice A reason:

Avoiding foods high in fiber is not a recommended preventive strategy for gallstone formation.

Choice B reason:

This statement is correct. Staying well-hydrated and maintaining a healthy weight are important preventive measures for reducing the risk of gallstones.

Choice C reason:

Consuming a diet high in saturated fats can increase the risk of gallstone formation, not reduce it.

Choice D reason:

Limiting physical activity is not a preventive strategy for gallstone formation. Regular physical activity is beneficial for overall health, including gallbladder function.

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A client with cholelithiasis is scheduled for endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones from the common bile duct. Which intervention should the nurse include in the client's pre-procedure care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A client has a family history of cholelithiasis and wants to know how to reduce their risk of developing gallstones. What is the nurse's best response?

Correct Answer is B

Explanation

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?

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 with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

A nurse is assessing a client with cholelithiasis. The client complains of pain in the right upper abdomen that radiates to the right shoulder. Which term should the nurse use to describe this pain?

A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

A nurse is providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?

A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?