A nurse is caring for a client in the oncology unit.
Ultrasound
MRCP
CT scan
Biopsy
HIDA scan
X-ray
Correct Answer : A,B,C
Correct Answers:
The nurse should educate the client that diagnostic imaging techniques used for assessing pancreatic ducts include Ultrasound, MRCP, and CT scan.
Rationale:
- Ultrasound is commonly used as an initial noninvasive imaging tool for detecting pancreatic abnormalities.
- MRCP (Magnetic Resonance Cholangiopancreatography) is a specialized MRI technique that provides detailed images of the pancreatic and biliary ducts.
- CT scan provides cross-sectional imaging of the pancreas and can identify masses or ductal obstruction.
- Biopsy is diagnostic but not considered an imaging technique.
- HIDA scan assesses gallbladder function, not pancreatic ducts.
- X-ray is not effective for direct pancreatic duct imaging.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","J"]
Explanation
Rationale
- Vital signs on admission and every 4 hr → establish baseline and monitor for instability.
- NPO → prevent worsening GI distress and prepare for possible procedures.
- Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr → correct fluid volume deficit and dehydration.
Correct Answer is []
Explanation
Rationale:
- Potential Condition: The client with cirrhosis shows elevated ammonia (236 mcg/dL), confusion, agitation, and disorientation, which are classic findings of hepatic encephalopathy.
- Actions to Take:
- Lactulose is given to lower ammonia levels by promoting its excretion through the stool.
- Assessing for asterixis (flapping tremor of the hands) is key in identifying worsening encephalopathy.
- Parameters to Monitor:
- Neurologic status (orientation, cognition, responsiveness) should be monitored closely to evaluate improvement or deterioration.
- Safety measures are essential because confusion and agitation increase the client’s risk for falls and injury.
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