An ERCP (endoscopic retrograde cholangiopancreatomy) indicates a client has an obstruction at the sphincter of Oddi. Which of the following client symptoms does the nurse correlate to this finding?
A)
frequent episodes of hiccoughing
B)
abdominal distention
C)
complaints of indigestion after eating
D)
complaints of heartburn after eating
C
Explanation:
A)
Pancreatic digestive enzymes are unable to enter the duodenum and assist with digestion. Hiccoughs are believed to be secondary to irritation of the phrenic nerve in the diaphragm. Abdominal distention can be related to many abdominal conditions. Heartburn is secondary to gastric reflux.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
Pancreatic digestive enzymes are unable to enter the duodenum and assist with digestion. Hiccoughs are believed to be secondary to irritation of the phrenic nerve in the diaphragm. Abdominal distention can be related to many abdominal conditions. Heartburn is secondary to gastric reflux.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
Pancreatic digestive enzymes are unable to enter the duodenum and assist with digestion. Hiccoughs are believed to be secondary to irritation of the phrenic nerve in the diaphragm. Abdominal distention can be related to many abdominal conditions. Heartburn is secondary to gastric reflux.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
Pancreatic digestive enzymes are unable to enter the duodenum and assist with digestion. Hiccoughs are believed to be secondary to irritation of the phrenic nerve in the diaphragm. Abdominal distention can be related to many abdominal conditions. Heartburn is secondary to gastric reflux.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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