A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

Abdominal computed tomography (CT) scan

Magnetic resonance imaging (MRI) of the gallbladder

Abdominal ultrasound

Endoscopic retrograde cholangiopancreatography (ERCP)

Answer and Explanation

The Correct Answer is C

Choice A reason:

Abdominal CT scan can provide detailed images, but it is not typically the first-line imaging study for diagnosing cholecystitis. It may be used if complications are suspected.

Choice B reason:

MRI of the gallbladder can provide high-resolution images, but it is not the first-line imaging study for diagnosing cholecystitis.

Choice C reason:

This statement is correct. Abdominal ultrasound is the first-line imaging study for diagnosing cholecystitis. It can visualize the gallbladder, detect gallstones, and assess for signs of inflammation, such as gallbladder wall thickening and pericholecystic fluid.

Choice D reason:

ERCP is an invasive procedure used to visualize the biliary and pancreatic ducts, but it is not typically used as a first-line diagnostic test for cholecystitis.

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Correct Answer is B

Explanation

Choice A reason:

Increasing the intake of spicy foods can exacerbate symptoms in a client with peptic ulcer disease, as they can irritate the stomach lining and increase acid production.

Choice B reason:

This statement is correct. Consuming small, frequent meals throughout the day can help reduce stomach distention and pressure, minimizing the symptoms of peptic ulcer disease.

Choice C reason:

Avoiding fluids with meals is not a standard recommendation for peptic ulcer disease. Adequate hydration is important, and drinking fluids with meals should not significantly affect stomach distention.

Choice D reason:

Citrus fruits and juices are acidic and can aggravate the stomach lining in a client with peptic ulcer disease. It is best to avoid or limit their consumption.

QUESTIONS

A. "Avoid smoking and limit alcohol intake to reduce stomach irritation." B. "Consume a high-fat diet to promote healing of the ulcerated areas." C. "Engage in strenuous exercise immediately after meals to aid digestion." D. "Take nonsteroidal anti-inflammatory drugs (NSAIDs) regularly for pain relief."

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Smoking and excessive alcohol intake can irritate the stomach lining and increase the risk of peptic ulcer recurrence. Avoiding these substances is important for promoting healing and preventing further damage.

Choice B reason:

Consuming a high-fat diet is not recommended for peptic ulcer prevention. High-fat foods can stimulate acid production and worsen symptoms for clients with peptic ulcers.

Choice C reason:

Engaging in strenuous exercise immediately after meals is not advisable, as it can increase the risk of acid reflux and worsen symptoms for clients with peptic ulcers.

Choice D reason:

Regular use of NSAIDs can increase the risk of developing peptic ulcers and is not a preventive strategy for clients with a history of peptic ulcer disease.

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A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary education to a client with peptic ulcer disease. Which of the following dietary modifications should the nurse recommend to the client?

Correct Answer is B

Explanation

A nurse is providing education to a client with a history of peptic ulcer disease on preventive strategies. Which of the following instructions should the nurse include to help prevent ulcer recurrence?

Correct Answer is A

Explanation

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