An ERCP (endoscopic retrograde cholangiopancreatogram) 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
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.
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