A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse an understanding of the procedure?
"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."
"Soon those shock waves will get rid of my gallstones."
The Correct Answer is B
Choice A reason: This choice is incorrect because an oral cholangiogram does not involve putting a camera down the throat. That procedure is more akin to an endoscopy.
Choice B reason: This statement is correct. An oral cholangiogram involves taking an Xray examination of the gallbladder after the patient has taken an iodine based contrast agent orally. The procedure is used to diagnose problems related to the gallbladder, such as gallstones or issues with bile flow.
Choice C reason: This choice is incorrect because an oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. That description is more consistent with nonsurgical treatments for gallstones, such as oral bile acid pills.
Choice D reason: This choice is incorrect as it describes a different procedure known as extracorporeal shock wave lithotripsy (ESWL), which uses shock waves to break up gallstones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Assessing the cranial nerves is important, but it is not the immediate next step after implementing droplet precautions for suspected bacterial meningitis.
Choice B reason: Decreasing environmental stimuli can help reduce the risk of seizures and is a supportive measure for a patient with suspected bacterial meningitis.
Choice C reason: Closing the room is part of implementing droplet precautions but is not an action that needs to be initiated by the nurse as it should already be in place.
Choice D reason: Administering an antipyretic may be necessary if the patient has a fever, but it is not the immediate next action after droplet precautions.
Correct Answer is D
Explanation
Choice A reason: Maple syrup, while a source of energy, is not rich in iron or vitamins that can significantly contribute to increasing hemoglobin levels.
Choice B reason: Carrots are a good source of beta-carotene and fiber but are not particularly high in iron, which is necessary for increasing hemoglobin levels.
Choice C reason: Orange juice is rich in vitamin C, which can enhance iron absorption, but on its own, it does not contribute significantly to hemoglobin levels.
Choice D reason: Raisins are a good source of iron and can help increase hemoglobin levels. They are also convenient as a snack and can be easily incorporated into the diet.
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