A nurse is caring for a patient who has just returned from the ERCP removal of gallstones. What would the nurse know to monitor the patient for?
A) Pain
B) Development of pancreatitis
C) Puncture
D) Development of gangrene of the gallbladder
Ans: B
Feedback: After an ERCP endoscope is inserted, a cutting instrument is passed through the endoscope into the ampulla of Vater of the common bile duct. It may be used to cut the submucosal fibers, or papilla, of the sphincter of Oddi, enlarging the opening, which may allow the lodged stones to pass spontaneously into the duodenum. Another instrument with a small basket or balloon at its tip may be inserted through the endoscope to retrieve the stones. The patient is observed closely for bleeding, perforation, and the development of pancreatitis or sepsis.
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