Quiz #7 Lower GI

Question 1

Chronic Cholecystitis

Answer 1

Cholecystitis is an inflammation of the gallbladder wall. Cholecystitis is most often caused by gallstones (cholelithiasis) obstructing the cystic and/or common bile ducts (bile flows from the gallbladder to the duodenum) causing bile to back up and the gall bladder to become inflamed.

Chronic: due to biliary obstruction

Question 2

Laparoscopic Cholycystectomy

Answer 2

Removal of the gallbladder with a laparoscopic, minimally invasive, or open approach

The client usually is discharged within 24 hr if a laparoscopic approach is used. An open approach can require hospitalization for 1 to 2 days.

Question 3

Suspected cholecystitis - color of urine

Answer 3

Dark colored urine

Question 4

Episodes of biliary colic w/ chronic cholecystitis

Question 5

Acute pancreatitis- priority interventions

Question 6

History of pancreatitis and food choices- what food to avoid

Question 7

Chronic pancreatitis and nurse teaching

Question 8

Acute pancreatitis. You’re going to be asked to identify how you know a patient is progressing, whether it’s negatively or positively. A patient who has acute pancreatitis. Let’s see how we know that they’re progressing. So, you’ll get a nursing note and vital signs.

Question 9

9. Acute pancreatitis and factors in the client’s history that would affect acute pancreatitis.

Question 10

Risk factors for contracting hepatitis?

Question 11

What is your plan with the patient who has hepatitis B?

Question 12

Viral hepatitis.

Question 13

Teaching for Hepatitis A

Question 14

Preventative care for clients who are at risk of acquiring viral hepatitis.

Question 15

Preventing transmission of hepatitis A

Question 16

1Self-management for hepatitis B. What would you include in your teaching?

Question 17

A patient who has hepatitis C. What precautions would you implement?

Question 18

Shockwave lithotripsy (extracorporeal shockwave lipotropic (ESWL))- monitor the client for what adverse effects with ESWL

Answer 18

Shock waves are used to break up stones. This can be used more on nonsurgical candidates of normal weight who have small, cholesterol-based stones.

Nursing Actions
Instruct and assist the client to lay on a fluid-filled pad for delivery of shock waves.
Administer analgesia.

Client Education
Several procedures can be required to break up all stones. There can be pain intraprocedural due to gallbladder spasms or movement of the stones.

Question 19

19. Post operative following a cholecystectomy. So what following actions you would take.

Question 20

If you’re in the PACU after a cholecystectomy, what position would you place the client in?