adult health

Question 1

Cholecystitis

Answer 1

causes RUQ pain radiating to the right shoulder, while pancreatitis causes LUQ
pain radiating to the back.

Question 2

Following a cholecystectomy,

Answer 2

early ambulation
reduces shoulder pain caused by retained laparoscopic gas.

Question 3

Maintain NPO status 8 hours before ERCP and
keep NPO until gag reflex returns.

Answer 3

Monitor for signs of perforation (abdominal
rigidity and tenderness

Question 4

For cholecystitis and pancreatitis,

Answer 4

implement NPO status to prevent worsening of the condition.

Question 5

1. Manage pain:

Answer 5

Limit further GI stimulation:
Implement NPO status.
Insert NG tube for decompression.
Administer proton pump
inhibitors (pantoprazole) or H2-
receptor antagonists (famotidine).
Place client in side-lying position with knees bent (fetal position) to relieve pressure on the abdomen. Administer IV opioid

Question 6

Peritonitis is a life-threatening complication of cholecystitis or pancreatitis.

Answer 6

Immediately report
abdominal rigidity or rebound tenderness to
the HCP. Abdominal guarding
High fever

Question 7

Immediately report

Answer 7

life-threatening pancreatitis
complications to the HCP, including ARDS and hypocalcemia.

Question 8

Acute respiratory distress syndrome:

Answer 8

Dyspnea, tachypnea
Hypoxemia
Crackles, wheezing