gall bladder dis
What are risk factors of gallbladder disease? select all that apply
A. female
B. men
C. sedentary lifestyle
D. obesity
E. CHF
A. female
C. sedentary lifestyle
D. obesity
Your pt has stones in the gallbladder what is the proper diagnosis for this person?
choleolithiasis
Where does appendicitis pain typically start?
the umbilical then moves to the RLQ
As a nurse caring for a pt with appendicitis what should you expect to administer as prophylaxis before surgery?
antibiotic and fluids to avoid fluid and electrolyte imbalances
When do signs of perforation of the appendix typically appear?
24 hours after pain starts
What is the most common cause of gall stones?
cholesterol
Your pt is immobile and has a history of diabetes what do these put them at risk for?
choleocystits
You are assessing your pt with suspected appendicitis when palpating you push on them and the pain is relieved but when you let go the pain returns what is this called?
rebound tenderness
vitamins a,d,e,k; ast, alt and wbcs
Your pt has inflammation of the gallbladder but has no stones what would you suspect the diagnosis to be?
acalculous cholecystitis
What does the gallbladder store?
bile
Your pt diagnosed with choleolithiasis is looking a little yellow like jaudice what can cause this?
the blockage of the bile duct
Your pt is diagnosed with appendicitis is waiting to go to the OR but all of a sudden, their pain is diffuse what could this signify?
the appendix ruptured
Your pt has cholecystitis what should you educate them on with their stools and urine?
that their urine may be dark and stool clay colored
Your pt went to the OR for an appendectomy and when they went in the appendix looked fine what would you suspect them to do for this pt?
remove it anyways because this could be the start of appendicitis
Your pt is diagnosed with gallbladder disease that is having complications what type of procedure would the nurse suspect to occur?
cholecystectomy- removal of the gallbladder
Your pt with cholelithiasis is not a candidate for laparoscopic surgery removal of the stones as the nurse what would you suspect to be ordered instead?
bile acids that will help break down stones made from cholesterol
constipation may occur with a diagnosis of appendicitis and the pt requests a laxative to help them go what should the nurse do?
A. give them a laxative
B. call the doctor to get an order for a laxative
C. explain to the pt that a laxative is not recommended for a pt with appendicitis because it can result in perforation
D. tell them they can have a family member bring them a laxative in
C. explain to the pt that a laxative is not recommended for a pt with appendicitis because it can result in perforation
Your pt returning from the OR should be monitored for what?
bleeding
What is empyema?
pus in the gallbladder
Your pt is a 45-year-old female who has a BMI of 30 and history of diabetes and is a chronic smoker what three things puts this person at risk for gallbladder disease?
45, bmi (fat) and female
3 F's- forty, fat, female
what is the first diagnostic study that is usually performed with expected choleolithiasis?
ultrasound
Your pt returns from the OR after a laparoscopic appendectomy when should you give them a food tray?
after bowel sounds retur
Your pt is a female of child bearring age what other diagnosis do you need to roll out?
ectopic pregnancy so will perform pregnancy test
position of the appendix