The nurse is preparing a client who is undergoing ERCP to facilitate the passage of stones in the common bile duct. Which of the following is a teaching point for this client?
A) Tell the client that the procedure will be performed under general anesthesia.
B) Tell the client that oxygen will be given because the endoscope will hinder breathing.
C) Tell the client to avoid aspirin, ibuprofen, or anticoagulants 5 to 7 days before the test.
D) Tell the client that the procedure will take 1 to 2 hours to perform.
C
Feedback:
Before the test, the client may be instructed to avoid aspirin, ibuprofen, or anticoagulants for 5 to 7 days because these medications prolong bleeding times and may cause excessive bleeding if tissue is removed during the procedure. A technique called conscious sedation is used for these procedures. The adult client is usually sedated with a short-acting intravenous (IV) analgesic, such as fentanyl (Sublimaze), or a sedative, such as midazolam (Versed). A mouthpiece protects the client's mouth and the endoscope tube, but the endoscope tube will not hinder normal breathing. The procedure takes 15 minutes to 1 hour.
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