Chapter 51: Gallbladder & Pancreatic Disorders Flashcards
Which factor is considered a risk factor in the development of
cholelithiasis?
Pregnancy, due to altered hormones which delay contraction of gallbladder.
What do the drugs Ursodiol and Chenodiol do?
they dissolve gallstones. Contact PCP if diarrhea occurs.
Gadolinium
is a contrast given for MRCP, does not contain iodine.
causes of calculous cholecystitis
Impaired gallbladder motility and abnormal metabolism of cholesterol are
causes of calculous cholecystitis.
causes of acalculous cholecystitis.
Sepsis, hypovolemia, and multisystem
organ failure are causes of acalculous cholecystitis.
severe biliary colic
Patients with cholecystitis may develop severe biliary colic after meals that
causes pain, skin changes, and increased heart rate. Administration of an
analgesic medication is the priority. The nurse should lower, not elevate, the
head of the bed to take pressure off of the upper abdominal area.
major risk factor for pancreatic cancer.
cigarette smoking.
Which enzyme is responsible for the release of vasoactive
peptides, bradykinin, and a plasma kinin?
Kallikrein
indicator of biliary obstruction
in acute pancreatitis
Serum alanine aminotransferase is a sensitive indicator of biliary obstruction
in acute pancreatitis.
Proteolysis
Proteolysis, which occurs when pancreatic enzymes are released during
pancreatitis, causes thrombosis and gangrene of the pancreas.
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?
Nausea, vomiting, and anorexia
A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?
Right upper quadrant tenderness.
Which of the following is NOT a role of the liver?
Absorbing water
