Exam 4 Content part II
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What are most Gallstones made of?
80% Cholesterol, the rest Bile
What is the medical term for gallstones?
What causes bile reflux into the liver, leading to jaundice, pain and possibly liver damage?
stone obstruction in the common bile duct
What is a cholecystectomy?
What kind of drainage system is placed on a patient after a cholecystectomy, to maintain patency of the duct?
What is the purpose of a T-Tube after a Cholecystectomy?
To maintain patency of the duct & promote bile passage, and decrease edema
How much drainage would the nurse expect to find in the t-tube drainage bag for the first 24hrs post surgery, after a cholecystectomy?
How much drainage would the nurse expect to find in the T-Tube drainage bag 2-3 days after a cholecystectomy?
Less than < 200ml
What is hepatitis?
Inflammation of the liver
What is the mode of transmission for Hepatitis A?
What is the mode of transmission for Hepatitis B?
Blood/ Body Fluids/ Parinatal
What is the mode of transmission for Hepatitis C?
Blood/ Body Fluids
What is the mode of transmission for Hepatitis D?
Blood/ Body Fluids/ Parinatal
What is the mode of transmission for Hepatitis E?
This is only an infection that occurs in people who are already infected with Hepatitis B?
This can cause an acute or chronic infection in people and can increase the severity of HBV infection?
This medication is used to treat Hep C and can cause Jaundice?
What are the 3 phases of hepatitis/ jandice?
- Preicteric (before jaundice)
- Icteric (jaundiced phase)
- Posticteric (post jaundice)
A combination of these drugs are used to treat Chronic Hep C?
Ribavirin (short acting) & Interferon
this medication is used to treat severe acute Hep B?
What is the purpose of the gallbladder?
When assessing the patient admitted for a laprascopic cholecystectomy, the nurse would expect to find which of the following?
A- history of upper right quad pain
B- obvious jaundice of the scelaran & skin
C- complaints of recurrent heartburn & acid reflux
D- complaints of chills, fever, nausea, & vomit
- A - history of upper right quad pain
- * upper right quad pain following ingestion of a fatty meal is the typical manifestation experienced by patients with cholelithiasis. Chills, fever, nausea, and vomit may indicate an infection & contradict surgery at this time.
Which of the following does the nurse include in her teaching for a patient with acute cholecystitis? Select all that apply
A- Avoid consumption of foods high in fat such as gravies and peanut butter
B- limit your intake to dry crackers and clear liquids during episodes of acute pain
C- A low carb diet such as the Atkins diet is recommended for weight loss
D- call your doc if you develop severe abdominal pain and a temp
- A & D
- * Acute cholecystitisusually developsfrom a stone obstructing the cystic duct, preventing release of bile from the gallbladder. High fatty foods like gravies and peanut butter stimulate contraction of the obstructed gallbladder causing pain. The patient should be instructed to call the physician if severe abdominal pain and a fever are experienced
When evaluating for people possibly exposed to Hep A by a recent diagnosed patient, the nurse inquires about which of the following?
A- sexual partners w/in the past 6 months
B- close household contacts w/in the past 4 wks
C- food preparation activities since the development of jaundice
D- immunization status of the patient
- B- Close househousehold contacts w/in the past 4 wks
- * the Hep A virus can be transmitted before manifestations of the disease (including jaundice) develops; therefor, it is important to identify people who have had direct contact with the newly diagnosed patient
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