A nurse is educating a patient diagnosed with cholelithiasis about the upcoming oral cholangiogram.
Which statement by the patient indicates that the education was effective?

“Soon those shock waves will get rid of my gallstones.”.

“I will have a camera put down my throat so they can see my gallbladder.”.

“They are going to examine my gallbladder and ducts.”.

“They’ll put medication into my gallbladder to dissolve the stones.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale

The statement about shock waves refers to a different procedure called extracorporeal shock wave lithotripsy, which is used to break up kidney stones and gallstones. It is not related to an oral cholangiogram.

Choice B rationale

An oral cholangiogram does not involve inserting a camera down the throat. This statement seems to refer to an endoscopic procedure, which is different from an oral cholangiogram.

Choice C rationale

This statement is correct. An oral cholangiogram is an X-ray examination of the gallbladder and bile ducts. The patient takes an oral medication that makes these structures more visible on the X-ray.

Choice D rationale

This statement is incorrect. An oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. This seems to refer to a different treatment approach.

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Correct Answer is C

Explanation

Choice A rationale

Waiting until the next appointment could potentially put both the mother and the baby at risk. Leakage of vaginal fluid could indicate premature rupture of membranes, which can lead to infection or premature labor.

Choice B rationale

While fetal movement is a good sign, it does not rule out potential complications associated with leakage of vaginal fluid. Therefore, this advice could lead to a delay in necessary medical intervention.

Choice C rationale

This is the most appropriate response. Leakage of vaginal fluid in a pregnant woman could be a sign of premature rupture of membranes, which can lead to complications such as infection or premature labor. Immediate medical attention is necessary to assess the situation and take appropriate action.

Choice D rationale

Asking the client to wait and see if the leakage changes could potentially delay necessary medical intervention. It’s important to seek immediate medical attention to assess the situation and take appropriate action.

A. Weakened uterine contractions B. Maternal blood glucose of 63 mg/dL C. Decreased fetal heart rate D. Enhanced production of fetal lung surfactant

Correct Answer is D

Explanation

Choice A rationale

Betamethasone, a corticosteroid, is not known to weaken uterine contractions. It is often administered to pregnant women at risk of preterm delivery to enhance fetal lung maturation and reduce complications associated with prematurity.

Choice B rationale

Betamethasone can potentially increase blood glucose levels, not decrease them. This is particularly relevant in women with gestational diabetes, as corticosteroids can exacerbate hyperglycemia.

Choice C rationale

Betamethasone does not typically decrease the fetal heart rate. Instead, it is used to help mature the lungs of the fetus.

Choice D rationale

Betamethasone is administered to pregnant women at risk of preterm delivery to enhance the production of surfactant in the fetal lungs. Surfactant is a substance that prevents the small air sacs in the lungs from collapsing, thereby aiding in the baby’s ability to breathe after birth.

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A nurse is educating a patient diagnosed with cholelithiasis about the upcoming oral cholangiogram.Which statement by the patient indicates that the education was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23 weeks pregnant client calls the clinic and reports leakage of vaginal fluid.What should be the appropriate response by the nurse?

Correct Answer is C

Explanation

A nurse is providing care for a patient who is 28 weeks pregnant and has received betamethasone.The nurse recognizes that the use of betamethasone affects which of the following?

Correct Answer is D

Explanation

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A nurse is educating a patient diagnosed with cholelithiasis about the upcoming oral cholangiogram.
Which statement by the patient indicates that the education was effective?