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Exam 32: Gallbladder, Pancreatic, and Bile Duct Dysfunction

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Question 1

Multiple Choice

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The client's laboratory reports indicate high levels of bilirubin. Which conclusion does the nurse infer from the report?

A) The client has stones in the common bile duct.
B) The client has decreased pancreatic enzymes.
C) The client has stones in the gallbladder.
D) The client has an infection of the pancreas.

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Question 2

Multiple Choice

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The nurse is caring for a client with abdominal distention and pain in the right upper quadrant. The nurse suspects a biliary disorder in the client. Which medication does the nurse expect the health-care provider to prescribe for the client to relieve pain?

A) Morphine
B) Codeine
C) Dilaudid
D) NSAIDs

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Question 3

Multiple Choice

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A physical examination of a client elicits the Cullen sign and Grey-Turner sign. Which condition does the nurse suspect in the client?

Which factor is identified as a cause for acute inflammation of the pancreas?

The nurse instructor is teaching a group of nursing students about the pathophysiology of cholecystitis. The nursing instructor asks, "What happens during chronic cholecystitis?" Which statement by a student nurse indicates effective learning?

The nurse is reviewing the medical record of a client admitted with severe malabsorption disorder because of pancreatic enzyme deficiency. The nurse is aware of a variety of disorders that can cause the diagnosis. Which pancreatic disorder does the nurse recognize as being genetically related?

A client is brought to the hospital because of severe abdominal pain, nausea, and vomiting. The client reports increased pain in the abdomen and in the epigastric region radiating to the back when lying supine. During physical assessment, the nurse finds the client has fever and hypotension. Which condition does the nurse suspect from these findings?

Which diagnostic procedure does the health-care provider use to confirm advanced chronic pancreatitis with exocrine insufficiency in a client?

The radiographic diagnostic reports for a client show the presence of stones in the common bile duct. Which complications does the nurse expect in the client? Select all that apply.

The nurse is using the Ranson's criteria to assess a client's pancreatitis. After 48 hours, which finding validates the client's need to remain hospitalized?

The nurse is assessing a client with pain in the right upper quadrant for 4 hours. The client reports the pain is radiating to the upper thoracic region. A laboratory report suggests elevated liver enzymes and serum bilirubin. Which condition does the nurse suspect from the findings?

Which hormone produced by the intestine triggers the release of pancreatic enzymes?

The nurse is reviewing Ranson's criteria to assess the severity of pancreatitis in a client. Which findings observed in the client by the nurse within a 48-hour period indicate that the client has chronic pancreatitis? Select all that apply.

The nurse finds increased glucose levels in a client with chronic pancreatitis. Which does the nurse interpret from the finding?

The nurse is preparing teaching material to present to a community group about the common risk factors for cholecystitis. Which factor does the nurse include for female attendees?

The nurse is reviewing anatomy and physiology with staff nurses. Which structure does the nurse identify as being at risk for choledocholithiasis?

Which client benefits from early endoscopic retrograde cholangiopancreatography (ERCP) ?

A nurse is caring for a client with cholecystitis and diagnosed with pruritus. Which medication does the nurse expect the health-care provider to prescribe for the client?

The nurse is assessing a client with episodic abdominal pain, constipation, and flatulence. Upon physical assessment and review of the laboratory findings, the nurse concludes the client has jaundice and elevated serum amylase. Which condition does the nurse suspect in the client?

Which complications does the nurse suspect in a client when bile is obstructed from flowing into the intestine? Select all that apply.