Nokea
Which patient statement indicates that the patient requires additional teaching about an endoscopic retrograde cholangiopancreatography?
- A. Right after the test, I want breakfast with black coffee.'
- B. The instrument will be put down my throat.'
- C. I haven't had anything to eat or drink since 9 p.m. last night.'
- D. My doctor said I could have medicine to relax me before the test.'
Correct Answer: A
Rationale: After the procedure, keep the patient at nothing by mouth status (NPO) until the gag reflex returns.
You may also like to solve these questions
Which is a classic location and radiation of the pain associated with cholecystitis?
- A. Substernal, radiating to the left shoulder and arm
- B. Epigastric, radiating to the back
- C. Right upper abdomen, radiating to the back or right scapula
- D. Left upper abdomen, radiating to the jaw and neck
Correct Answer: C
Rationale: It localizes in the right upper quadrant epigastric region. The pain radiates around the mid torso to the right scapular area.
A occurs when the body encapsulates the autodigestive debris in the pancreatic tissue, frequently becoming an abscess.
Correct Answer: pseudocyst
Rationale: A pseudocyst occurs when the body encapsulates the autodigestive debris in the pancreatic tissue.
Which factors are most commonly associated with pancreatitis?
- A. Coronary artery disease
- B. Alcoholism and biliary tract disease
- C. Cirrhosis
- D. History of myocardial infarction
Correct Answer: B
Rationale: Alcoholism and biliary tract disease are the two factors most commonly associated with pancreatitis.
Viral hepatitis may be treated at home. Which should be taught to the patient's family?
- A. Clothes should be laundered separately with hot water.
- B. Personal items and drinking glasses should not be shared.
- C. Articles soiled with feces do not require extra care.
- D. Hands need to be thoroughly washed after toileting.
- E. Contaminated items may be disposed of with regular trash.
Correct Answer: A,B,D
Rationale: For the patient with viral hepatitis being cared for in the home, the family needs to be taught necessary precautions. Clothes should be laundered separately with hot water. Personal items used by the patient should not be shared. Articles soiled with feces must be disinfected. Any contaminated items should be disposed of properly.
Which is an essential nursing measure to prevent injury to the patient who is to receive a paracentesis?
- A. Have patient sign a permit.
- B. Pad side rails.
- C. Check for allergy to contrast media or to shellfish.
- D. Have patient void immediately before procedure.
Correct Answer: D
Rationale: To prevent the puncturing of the bladder, the patient must void immediately before the procedure. A permit is required but it is not a safety precaution for the patient. There is no contrast media used in a paracentesis.