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 D
Explanation
Rationale:
A. Simply saline locking the IV catheter would interrupt the continuous infusion of nutrients, which can lead to hypoglycemia in clients receiving TPN.
B. Hanging only the IV fat emulsion is insufficient to meet the client’s total nutritional and caloric needs; it does not prevent hypoglycemia.
C. Calling the provider for new TPN orders is unnecessary if the original prescription is still valid; the priority is maintaining glucose levels until the TPN arrives.
D. If the TPN solution is unavailable, D₁₀W (10% dextrose in water) should be infused to prevent hypoglycemia, as TPN provides continuous glucose supply and abrupt discontinuation can cause dangerous drops in blood sugar.
Correct Answer is D
Explanation
Rationale:
A. Dietary sources of fiber should not be eliminated; in fact, fiber from food complements the effect of psyllium and supports normal bowel function.
B. Fiber-containing laxatives can have adverse effects, such as bloating, gas, or, rarely, intestinal obstruction if not taken with adequate fluid.
C. Psyllium does not significantly reduce absorption of fat-soluble vitamins; this concern is more relevant to certain other medications, like cholestyramine.
D. Psyllium absorbs water in the intestines, forming a bulky stool. To prevent fecal impaction or bowel obstruction, it is essential to take large amounts of fluid when using this type of laxative.
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