9. Gallstones can be diagnosed and sometimes removed by endoscopic retrograde cholangiopancreatography (ERCP). Preparation of a client scheduled for this procedure should include:
9. Gallstones can be diagnosed and sometimes removed by endoscopic retrograde cholangiopancreatography (ERCP). Preparation of a client scheduled for this procedure should include:
. Planning for a 2- to 3-day hospitalization.
. Drinking 500 mL of dye-containing juice 30 minutes beforehand.
. Receiving sedative but not general anesthesia.
. Planning on a 5- to 10-minute procedure.
Test-Taking Tip
Eliminate the three options that involve specific time frames (i.e., 2 to 3 days, 30 minutes, 5 to 10 minutes). Select the one option that is different.
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Diagnostic Tests
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Answer 1 is incorrect because generally no more than one overnight stay is required. Answer 2 is incorrect because dye will be injected during the procedure, but is not taken orally beforehand. A client will be NPO. Answer 3 is correct because a sedative is given for this procedure, which does not require general anesthesia. ERCP permits direct visualization of structures and requires multiple position changes. Answer 4 is incorrect because this procedure generally takes about 1 hour.