A client presents at the ER with signs and symptoms of ...

[khang]

A client presents at the ER with signs and symptoms of gallstones. What test would be the preferred diagnostic tool to confirm this condition?
 
  A) Angiography
  B) Ultrasound
  C) Computed tomography
  D) Nuclear uptake scan

Question 2

Which of the following medications would not be delivered via PCA or portable pump?
 
  A) Morphine
  B) Fentanyl
  C) Insulin
  D) Vancomycin

[at]

Answer to Question 1

B
Feedback:
Ultrasound can identify gallstones and abdominal tumors. This test is becoming the preferred diagnostic tool, especially to rule out gallstones, pancreatic cysts, and cancerous tumors. Angiography and arteriography may be done to evaluate vascular structures, and CT scans are used to identify various abnormalities or tumors. Nuclear uptake scans using a radionuclide, such as technetium 99 (Tc-99m sulfide), will show size, structure, and abnormalities of the stomach, liver, and hepatobiliary system.

Answer to Question 2

D
Feedback:
Sometimes, the client with chronic or intractable pain controls his or her own PCA device. Medications commonly administered in this manner include morphine, fentanyl, and hydromorphone, as well as a combination of drugs called BAD (Benadryl, Ativan, and Decadron). In other situations, clients are also allowed to manage their own medication pumps. This includes the insulin pump for diabetics and a pump containing an antiemetic, such as metoclopramide (Reglan) or ondansetron (Zofran) for the client undergoing cancer chemotherapy or who has hyperemesis of pregnancy. Vancomycin is an antibiotic and its administration would not be controlled by the patient.