In an outpatient clinic, the LPN/LVN contributes to the discharge planning of a client after an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Which of the following instructions is MOST appropriate for this client1. Inspect overlying skin for signs/symptoms of infection.2. Determine the type of joint inflammation.3. Place client in supine position on operating table.4. Assess prior use of corticosteriods.

Option 1. Inspect the overlying skin for signs/symptoms of infection.

Explanation:

An endoscopic retrograde cholangiopancreatography (ERCP) procedure is the procedure whereby a physician makes use of a camera to view the pancreatic and bile ducts of the patients.

The camera that is used is called and endoscope. An ERCP endoscope is long and flexible tube that contains a camera( a lens and a source of light) which is inserted into the mouth of the patient and a small incision is made at the stomach specifically the region where the bile and the pancreatic duct is located also know as the ampulla, so that the other end of the endoscope is passed out from there.

Another plastic tube is inserted into the end of the endoscope into the bile and pancreatic ducts , a dye is injected through this duct and pictures are taken using the camera in the endoscope.

Due to the incision made on the stomach to be able to allow the end of the endoscope to the passed out from there, it is necessary that such incision are properly stitched and treated to prevent the risk of infections. This is why it is appropriate to check the overlying skin of the patient or client for infections.

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