Which Of The Following Physical Exam Tests Could Be Used If You Suspected Cholecystitis In Tina?
This is a quiz that contains NCLEX review questions for cholecystitis. As a nurse providing care to a patient with cholecystits, it is important to know the classic signs and symptoms of this conditions, diagnostic tests, and nursing care.
In the previous NCLEX review series, I explained nearly other GI disorders you may be asked about on the NCLEX exam, then be sure to cheque out those reviews and quizzes as well.
Don't forget to sentinel the lecture on cholecystitis before you take the quiz.
Cholecystitis NCLEX Questions
This quiz volition test your nursing cognition on cholecystitis in preparation for the NCLEX examination.
(NOTE: When you hit submit, it will refresh this same folio. Scroll down to see your results.)
Cholecystits NCLEX Questions
i. The gallbladder is institute on the __________ side of the body and is located nether the ____________. It stores __________.
A. right; pancreas; bilirubin
B. left; liver; bile
C. right; thymus' bilirubin
D. right; liver; bile
The respond is D. The gallbladder is constitute in the Correct side of the trunk and is located under the LIVER. Information technology stores BILE.
ii. Which statements below are CORRECT regarding the part of bile? Select all that utilize:
A. Bile is created and stored in the gallbladder.
B. Bile aids in digestion of fat soluble vitamins, such as A, D, Due east, and K.
C. Bile is released from the gallbladder into the duodenum.
D. Bile contains bilirubin.
The reply are B, C, and D. Choice A is INCORRECT because bile is created in the LIVER (not gallbladder), simply bile is stored in the gallbladder.
3. You're providing a community in-service about gastrointestinal disorders. During your teaching virtually cholecystitis, you discuss how cholelithiasis can lead to this condition. What are the risk factors for cholelithiasis that you will include in your teaching to the participants? Select all that apply:
A. Beingness male
B. Underweight
C. Being female
D. Older historic period
E. Native American
F. Caucasian
Grand. Significant
H. Family History
I. Obesity
The answers are C, D, East, 1000, H and I. Cholelithiasis is the formation of gallstones. Risk factors include: being female person, older age (over 40), Native American or Mexican American descent, significant, obesity, and family history.
4. A patient is being transferred to your unit with astute cholecystitis. In report the transferring nurse tells you that the patient has a positive Murphy'southward Sign. You know that this means:
A. The patient stops animate in when the examiner palpates nether the ribs on the right upper side of the abdomen at the midclavicular line.
B. The patient stops breathing out when the examiner palpates nether the ribs on the correct upper side of the abdomen at the midclavicular line.
C. The patient verbalizes pain when the lower right quadrant is palpated.
D. The patient reports pain when pressure level is applied to the right lower quadrant simply and then reports an increment in pain intensity when the pressure level is released.
The respond is A. White potato's Sign can occur with cholecystitis. This occurs when the patient is placed in the supine position and the examiner palpates under the ribs on the right upper side of the abdomen. The examiner will take the patient exhale out then accept a deep breath in. The examiner volition simultaneously (while the patient is breathing in) palpate on this expanse under the ribs at the midclavicular line (hence the location of the gallbladder). It is a POSITIVE Murphy's Sign when the patient stops breathing in during palpation due to pain.
v. Your patient is postal service-op day 3 from a cholecystectomy due to cholecystitis and has a T-Tube. Which finding during your assessment of the T-Tube requires immediate nursing intervention?
A. The drainage from the T-Tube is yellowish/green in color.
B. There is approximately 750 cc of drainage within the past 24 hours.
C. The drainage bag and tubing is at the patient's waist.
D. The patient is in the Semi-Fowler's position.
The answer is B. A T-Tube should not bleed more than than about 500 cc of drainage per day (within 24 hours). A T-Tube's drainage will get from bloody tinged (fresh post-op) to yellowish/green within 2-3 days. The drainage purse and tubing should be below the site of insertion (at or below the patient'south waist so gravity tin can assistance drainage the bile), and the patient should be in Semi-Fowler's to Fowler'southward position to help with draining the bile.
6. The dr. orders a patient'due south T-Tube to be clamped ane hr before and 1 hour after meals. You clamp the T-Tube as prescribed. While the tube is clamped which finding requires y'all to notify the md?
A. The T-Tube is not draining.
B. The T-Tube tubing is below the patient'south waist.
C. The patient reports nausea and abdominal pain.
D. The patient's stool is brown and formed.
The answer is C. A nurse should Merely clamp a T-Tube with a md's order. Most physicians will prescribe to clamp the T-tube i hour earlier and 1 hour after meals. WHY? So, bile will flow down into the modest intestine (instead out of the body) during times when food is in the small-scale intestine to help with the digestion of fats. This is to help the small intestine adjust to flow of bile (remember unremarkably it received bile when the gallbladder contracted but now it will period from the liver to the pocket-sized intestine continuously). Option C is an abnormal finding. The patient should not report nausea or abdominal pain when the tube is blocked. This could indicate a serious problem. Option A is right because the T-tube should not be draining because information technology'southward clamped. Option B is right because the T-tube tubing should be below or at the patient'due south waist level. Choice D is correct because this shows the body is digesting fats and bilirubin is exiting the body through the stool (remember bilirubin is found in the bile and gives stool its brown color…information technology would be low-cal colored if the bilirubin was not nowadays). You lot would Not want to see steatorrhea (fatty/greasy liquid stools) considering this shows the bile isn't beingness delivered to help digest the fats.
7. Your contempo admission has astute cholecystitis. The patient is awaiting a cholecystostomy. What signs and symptoms are associated with this status? Select all that apply:
A. Right lower quadrant pain with rebound tenderness
B. Negative White potato's Sign
C. Epigastric pain that radiates to the correct scapula
D. Pain and fullness that increases after a greasy or spicy meal
Due east. Fever
F. Tachycardia
G. Nausea
The answers are C, D, E, F, and Thousand. Option A and B are non associated with cholecystitis, simply a POSITIVE Spud'southward Sign is.
8. A patient in the emergency room has signs and symptoms associated with cholecystitis. What testing practice yous anticipate the physician will order to aid diagnose cholecystitis? Select all that utilise:
A. Lower GI serial
B. Abdominal ultrasound
C. HIDA Scan (Hepatobiliary Iminodiacetic AciD scan)
D. Colonoscopy
The answers are B and C. These 2 tests can assess for cholecystitis. A lower GI series would not assess the gallbladder but the lower portions of the GI system similar the rectum and large intestine. Selection D is wrong because it would besides assess the lower portions of the GI system.
nine. Y'all're precepting a nursing pupil who is helping y'all provide T-Tube drain care. You explain to the nursing educatee that the t-shaped part of the drain is located in what part of the biliary tract?
A. Cystic duct
B. Common hepatic duct
C. Common bile duct
D. Pancreatic duct
The answer is C. The "T-shaped" part of the drain is located in the common bile duct and helps evangelize bile to the duodenum (small intestine).
10. Your patient is unable to have a cholecystectomy for the treatment of cholecystitis. Therefore, a cholecystostomy tube is placed to help care for the condition. Which statement nearly a cholecystostomy (C-Tube) is TRUE?
A. The C-Tube is placed in the cystic duct of the gallbladder and helps drain infected bile from the gallbladder.
B. Gallstones regularly drain out of the C-Tube, therefore, the nurse should affluent the tube regularly to ensure patency.
C. The C-Tube is placed through the abdominal wall and straight into the gallbladder where it will drain infected bile from the gallbladder.
D. The tubing and drainage handbag of the C-Tube should always be level with the insertion site to ensure the tube is draining properly.
The respond is C. This is the only correct statement about a cholecystostomy. A cholecystostomy, also sometimes called a C-Tube, is placed when a patient can't immediately have the gallbladder removed (cholecystectomy) due to cholecystitis. Information technology is placed through the abdominal wall and into the gallbladder. It will drain infected bile (Not gallstones). The tubing and drainage purse should be at or below waist level so it drains properly.
11. A patient, who has recovered from cholecystitis, is being discharged dwelling. What repast options beneath are best for this patient?
A. Baked chicken with steamed carrots and rice
B. Broccoli and cheese casserole with gravy and mashed potatoes
C. Cheeseburger with fries
D. Fried chicken with a baked tater
The answer is A. The patient should eat a low-fat diet and avoid greasy/fatty/gassy foods. Option B is wrong considering this contains dairy/beast fat like the cheese and gravy, and broccoli is known to cause gas. Option C and D are greasy food options.
12. Your patient is diagnosed with acute cholecystitis. The patient is extremely nauseous. A nasogastric tube is inserted with GI decompression. The patient reports a pain rating of nine on 1-10 scale and states the pain radiates to the shoulder blade. Select all the appropriate nursing interventions for the patient:
A. Encourage the patient to consume clear liquids.
B. Administered Iv fluids per MD order.
C. Provide oral cavity intendance routinely.
D. Keep the patient NPO.
E. Administer analgesic every bit ordered.
F. Maintain low intermittent suction to NG tube.
The answers are B, C, D, E, and F. The treatment for cholecystitis includes managing pain, managing nausea/vomiting (a NG tube with GI decompression (removal of stomach contents) to depression intermittent suction may be ordered to assist severe cases), proceed patient NPO until signs and symptoms subside, mouth care from vomiting and nasogastric tube, and administer IV fluids to go along the patient hydrated.
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Which Of The Following Physical Exam Tests Could Be Used If You Suspected Cholecystitis In Tina?,
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