Gallbladder 150 Flashcards by Madelyn Shipley

What is:
-Formation of stones in gallbladder or biliary duct system

A. Biliary colic
B. Cholangitis
C. Cholecystic
D. Cholelithiasis

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What occurs when:
- The stone migrates into ducts

A. Biliary colic
B. Cholangitis
C. Cholecystic
D. Cholelithiasis

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What occurs when:
- The stone obstructs the duct

A. Biliary colic
B. Cholangitis
C. Cholecystic
D. Cholelithiasis

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What is:
- Inflammation of gallbladder

A. Biliary colic
B. Cholangitis
C. Cholecystitis
D. Cholelithiasis

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Where will a pt with gallstones complain of pain?

A. ULQ and wraps around the back
B. URQ & LRQ pain
C. Rebound pain in URQ
D. URQ & straight through the back

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What causes formation of gallstones? (select all)

A. Inflammation
B. High fat diet
C. Biliary stasis
D. Abnormal bile composition
E. Overeating

A
C
D

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What make up 80% of gallstones?

A. Bile components
B. Pigment stones
C. Biliary salts
D. Cholesterol

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What make up 20% of gallstones? (2)

A. Bile components
B. Pigment stones
C. Biliary salts
D. Cholesterol

A
B

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What manifestations of cholelithiasis would the nurse expect to see? (select all)

A. Back, R scapula, R shoulder pain
B. Severe, steady, abrupt onset
C. Pain for 12-18 hrs
D. Epigastrium and RUQ pain
E. Pain for 30min - 5hrs
F. Aggravated by movement and breathing
G. Guarding, chills, fever
H. Gassy after high fiber meals

A
B
D
E

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What manifestations of cholecystitis would the nurse expect to see? (select all)

A
B
C
F
G

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Obstruction of the common bile duct elevates which lab value?

A. WBC
B. Bilirubin
C. Amylase
D. Lipase

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Which lab value is indicative of issues with the pancreas? (2)

A. WBC
B. Bilirubin
C. Amylase
D. Lipase

C
D

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Which image is the gold standard for checking thickening/swelling/stones in the gallbladder?

A. Hida scan
B. Ultrasound
C. Cholecytogram
D. Endoscopic retrograde cholangiopancreatography

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Which image checks for a blockage in the common bile duct?

A. Hida scan
B. Ultrasound
C. Cholecytogram
D. Endoscopic retrograde cholangiopancreatography

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Which image is ingested orally and shows how the gallbladder fills and empties?

A. Hida scan
B. Ultrasound
C. Cholecytogram
D. Endoscopic retrograde cholangiopancreatography

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What are some ways to remove the stone non-surgically? (Select all)

A. Famotidine
B. Shock wave therapy
C. Oral dissolution therapy
D. Radiation

B
C

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What should the nurse do during the “wait and see” phase of gallbladder treatment? (select all)

A. Remain in high-fowlers 24/7
B. Ensure IV access & admin. fluids
C. Ambulate frequently
D. Notify the RN antibiotics need hung
E. Ensure NPO status

B
D
E

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What treatment option:
-Placement of T-tube to promote bile passage

A. Cholecystostomy
B. Choledochotomy
C. Cholecystectomy with CBD exploration
D. Lithotripsy

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What treatment option:
-Drains the gallbladder

A. Cholecystostomy
B. Choledochotomy
C. Cholecystectomy with CBD exploration
D. Lithotripsy

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What treatment option:
-Removal of the gallbladder with exploration of the common bile duct
A. Cholecystostomy
B. Choledochotomy
C. Cholecystectomy with CBD exploration
D. Lithotripsy

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Which treatment option:
-Uses shock wave therapy

A. Cholecystostomy
B. Choledochotomy
C. Cholecystectomy with CBD exploration
D. Lithotripsy

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Which narcotic analgesics are used for pain control? (select all)

A. Ursodiol
B. Flagyl
C. Dilaudid
D. Demurral
E. Morphine
F. Antispasmodics
G. Toradol

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C
D
F
G

Which med is used to dissolve stones?

A. Ursodiol
B. Flagyl
C. Dilaudid
D. Demurral
E. Morphine
F. Antispasmodics
G. Toradol

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Which Antibiotics are used? (select all)

A. Zosyn
B. Flagyl
C. Ampicillin
D. Ceftriaxone
E. Azithromycin
F. Ceftazidime

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A
B
D
F

Which med: -Causes issues with gallbladder sphincter – making pain worse A. Ursodiol B. Flagyl C. Dilaudid D. Demurral E. Morphine F. Antispasmodics G. Toradol

What non-pharm therapy can be used for these pts? (select all) A. Reduced fat intake B. Reduce consistent carbs C. NG tube - food starving D. Avoid all alcohol E. Fat-soluble vitamins

A C E

What complications can arise if left untreated? (select all) A. Adenoma B. Gangrene C. Perforation D. Colitis E. Empyema F. Fistula

B C E F

True or false: -The pts urine will get darker and their stool will get lighter

True

What should the nurse do for a post-op drainage bag pt? (select all) A. Measure biliary output B. Encourage bed rest C. Monitor VS Q4hr D. Encourage deep breathing and IS E. Monitor VS Q 2hr

A C D

Which age group has an: -Incidence of biliary sludge A. Children & Adolescents B. Pregnant women C. Older adults

Which age group has: -Sickle cell and biliary abnormality -Obesity A. Children & Adolescents B. Pregnant women C. Older adults

Which age group has an: -Symptoms include general malaise and lack of appetite A. Children & Adolescents B. Pregnant women C. Older adults

What causes biliary colic? A. The regurgitation of bile B. Stone formation in the gallbladder C. Biliary stasis D. Stone obstructions

What can obstruction of the common bile duct cause: (select all) A. Decreased kidney function B. Inflammation of the pancreas C. Jaundice D. Liver damage

B C D

What does bile need to be supersaturated with to form stones? A. Bicarbonate B. Chenodiol C. Sugar D. Cholesterol

What can manifest due to bilirubin backing up into the blood from an obstruction? A. Bradycardia B. Liver damage C. Salty skin D. Flushing

Which drug binds with the bile salts to excrete it from feces in pts with excess bilirubin in the blood? A. Questran B. Omeprazole C. Dulcolax D. Chenodiol

Which med: - Decreases secretion of cholesterol from the liver; decrease the cholesterol content of bile stones, allowing them to dissolve A. Questran B. Omeprazole C. Dulcolax D. Chenodiol

Why does eating fat cause so much pain for pts with gallbladder disease? A. It causes a quick release of bile, irritating the stomach B. Food cannot pass through due to stenosis C. Contractions cause pain when gallstones are in the ducts D. Bile is trapped due to obstructive stones

What position would you want your pt in to decrease pressure on the inflamed gallbladder? A. Prone B. Supine C. Semi-fowlers D. Fowlers

While encouraging the use of incentive spirometry, what should the nurse be sure to do? A. Do it with the pt to make them feel more comfortable B. Encourage holding a pillow to abdomen C. Provide a new IS after each use to minimize the spread of infection D. Provide sterile water for cleansing after

How can the nurse reduce the risk of respiratory infections in post op pts? (Select all) A. Wash hands after every interaction B. Don gown, gloves, and face mask before entering C. Fowlers position D. Early ambulation

C D

How much should the drainage bag output in the first 24hrs after placement? A. 500 mL B. 600 mL C. 720 mL D. 1,000 mL

You are monitoring your pt who is 52 hrs post op from placement of a drainage bag for gallbladder disease. The NA informs you the output is 650mL. What should the nurse do next? A. Check the placement by testing pH B. Nothing, as this is to be expected C. Check for kinks or a clamped tube D. Inform the doctor right away

Gallbladder 150 Flashcards

(44 cards)