A client with complaints of right upper quadrant pain is ...

[Beheh]

A client with complaints of right upper quadrant pain is scheduled for an ultrasound of the gallbladder. The nurse explains that the test will help to identify:
 
  1. the ability of the gallbladder to store and excrete bile.
  2. blockages in the common bile duct and sphincter of Oddi.
  3. presence of an abdominal aneurysm.
  4. presence of gallstones.

Question 2

An ERCP (endoscopic retrograde cholangiopancreatog ram) indicates that a client has an obstruction at the sphincter of Oddi. Which client symptom should the nurse correlate to this finding?
 
  1. Abdominal distention
  2. Complaints of indigestion after eating
  3. Complaints of heartburn after eating
  4. Frequent episodes of hiccoughing

[Liamb2179]

Answer to Question 1

Answer: 4

1. A cholecystogram is done to check gallbladder functions of storage and excretion.
2. An ERCP (endoscopic retrograde cholangiopancreatog ram) is done to explore the common bile duct and pancreatic sphincters.
3. An abdominal ultrasound would detect an abdominal aneurysm.
4. An ultrasound of the gallbladder can detect gallstones and help evaluate gallbladder emptying.

Answer to Question 2

Answer: 2

1. Abdominal distention can be related to many abdominal conditions.
2. Pancreatic digestive enzymes are unable to enter the duodenum and assist with digestion.
3. Heartburn is secondary to gastric reflux.
4. Hiccoughs are believed to be secondary to irritation of the phrenic nerve in the diaphragm.