Magnetic resonance cholangio-pancreatography (MRCP)
A combination of surgical and non-surgical treatments are recommended for both asymptomatic and symptomatic patients with gallstones.
From the following, select all correct contraindications for a laproscopic cholecystectomy.
stones are in the CBD
stones are in the gallbladder
client's physique does not allow access to the gallbladder
stones are primarily pigmented, not cholesterol
Patients with acute cholecystitis often present with nausea and vomiting. What is responsible for this manifestation?
Impulse transmitted to vomiting center from distention of bile duct
Impulse transmitted to vomiting center from distention of the gallbladder
Impulse transmitted to vomiting center from inflammation of gallbladder walls
Build up of toxins, secondary to necrosis of parenchymal tissue
A patient presents to the ER with acute pain in the supscapular region that started suddenly. The patient is also complaining of nausea, vomiting, and has a low grade fever. You suspect this patient has acute cholecystitis. Which diagnostic study will likely be done first?
4-8% of patients with acute cholecystitis are acalculous (no stones). From the following, select all common causes of the acute inflammation.
Prolonged childbirth (postpartum period)
Debilitating systemic diseases (e.g. TB, CVD)
50% of cases of acute acalculous cholecystitis have no apparent precipitating factors.
Chronic cholecystitis is almost always associated with gallstones (95% of cases). Which of the following populations has the highest incidence of this condition?
Middle-aged and older obese women
Older obese men
Older men and women with poorly managed diabetes
Which of the following statements is INCORRECT regarding gallbladder function?
Within 30 minutes of eating, the gallbladder forces bile into the stomach.
Cholinergic branches of the vagus nerve mediate gallbladder contraction.
Cholecystokinin and motilin provide hormonal regulation of gallbladder contraction.
The sphincter of Oddi controls the flow of bile from the gallbladder.
A patient was admitted to the hospital with a diagnosis of acute cholecystitis due to cholethiasis. The client complains of severe abdominal pain, nausea, and has vomited 3 times. What is the priority nursing diagnosis for this client?
Imbalanced nutrition: less than body requirements related to vomiting
Deficient fluid volume related to vomiting
Infection related to gallbladder inflammation
Acute pain related to biliary spasm
A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
light amber urine
black, tarry stools
Which of the following descriptions best describes Murphy's sign?
Periumbilical eccymosis exists
On deep palpation and release, pain is elicited
On deep inspiration, pain is elicited and breathing stops
Abdominal muscles are tightened in anticipation of palpation
Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis?
Administration of antibiotics
Assessment for complications (e.g. infection, n/v, sepsis)