Gallbladder & Pancreatic Disorders

Question 1

A nurse is caring for a patient who is 4 hours post-op following a laparoscopic cholecystectomy. Which of the following findings would the nurse expect?

a.) Right shoulder pain
b.) Urine output of 20 mL/hr
c.) Temperature of 38.4 C
d.) Oxygen saturation of 92%

Answer 1

a.) Right shoulder pain

Due to air that’s put into the patient during the surgery

Question 3

A nurse is caring for a patient who has acute pancreatitis. Which of the following serum lab values should the nurse anticipate returning to the expected reference range within 72 hours after treatment begins?

a.) Aldolase
b.) Lipase
c.) Amylase
d.) Lactic dehydrogenase

Answer 3

c.) Amylase

Question 4

A nurse is completing an H&P for a patient who has chronic pancreatitis. Which of the following findings should the nurse identify as a likely cause of the patient’s condition?

a.) High-calorie diet
b.) Prior GI illnesses
c.) Tobacco use
d.) Alcohol use

Answer 4

d.) Alcohol use

Question 5

What is cholecystitis?

Answer 5

inflammation of the gallbladder

Question 7

What is cholelithiasis?

Answer 7

Gallstones

Question 8

What is ERCP?

Answer 8

endoscopy and x-ray to help diagnose gallbladder, pancreatic, & liver disorders

Endoscopic Retrograde Cholangiopancreatography

Question 9

Signs & Symptoms of acute cholecystitis

Answer 9

• RUQ Pain, tenderness, & rigidity that may radiate to the R shoulder or mid-sternum
• N/V
• Fever
• ↑ WBCs
• Rebound Tenderness
• Murphy’s Sign (pain on palpation while pt takes a deep breath & holds it)