NSG 123 - Medical-Surgical Nursing I
Exam 2
Question:
a patient presents with symptoms of gallbladder disease, and the nurse should anticipate what type of diagnosis test to be performed?
Answer:
abdominal Xray
Question:
patient presents with symptoms of gallstones and jaundice, the nurse should anticipate what type of diagnosis test to be performed
Answer:
ultrasonography
Question:
when radiography is not conclusive, which option of diagnosis is run by for acute cholecystitis blockage?
Answer:
cholescintigraphy 1 / 4
Question:
endoscopy retrograde cholangiopancreatography (ERCP)
Answer:
permits direct visualization of structures of hepatobiliary system.
Question:
Murphy's sign
Answer:
Pain with palplation of gall bladder (seen with cholecystitis)
Question:
how to treat a cholecystitis?
Answer:
requires hospitalization fasting periods at the hospital fluid replacement - IV electrolytes antibiotics pain relief medication gallbladder stone removal ERCP
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Question:
Peritonitis symptoms
Answer:
sudden severe abdominal pain, rigid abdomen, shallow rapid respiration, tachycardia with weak pulse, nausea and vomitting
Question:
risk of peritonitis
Answer:
perforation or rupture of structure in GI tract from appendix, peptic ulcer, diverticulitis, bowel obstruction) traumatic injury ruptured ovarian cyst postoperative complication septic shock
Question:
Laparoscopy Cholecystectomy
Answer:
removal of gallbladder through a small incision. less risk, reduce long stay in hospital and improvement on recovery
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Question:
nutritional therapy for post care of acute gallbladder inflammation
Answer:
low fat liquids powdered supplements high in protein stirred into fats kind milk cooked fruits and veggies avoid eggs, coffee, pork, fried foods, cheese, gas forming vegetables
Question:
nonsurgical removal of gallstones
Answer:
Dissolving gallstones by infusion of a solvent MTBE into the gallbladder.There are several routes, but laparoscopic cholecystectomy is the standard for management.
Question:
pre-op for gallbladder surgery
Answer:
chest x ray electrocardiogram liver function test vitamin K supplements if prothrombin is low iv with glucose protein supplements to help prevent liver damage
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