A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

"Rapid weight loss can lead to gallstone formation, especially if you consume a high-fat diet."

"Rapid weight loss does not have any impact on gallstone formation or your gallbladder health."

"Rapid weight loss can reduce the risk of gallstone formation due to decreased bile production."

"Rapid weight loss may increase the risk of gallstone formation, especially if you follow a low-fat diet."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Rapid weight loss, especially when accompanied by a high-fat diet, can increase the risk of gallstone formation. Rapid weight loss can lead to an imbalance in bile composition, increasing the likelihood of gallstone development.

Choice B reason:

This statement is incorrect. Rapid weight loss can impact gallstone formation, and it is essential for the client to be aware of this potential risk.

Choice C reason:

Rapid weight loss does not reduce the risk of gallstone formation. In fact, it may increase the risk due to changes in bile composition and gallbladder motility.

Choice D reason:

This statement is incorrect. Rapid weight loss, especially with a low-fat diet, can contribute to gallstone formation due to changes in bile composition and gallbladder function.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Jaundice refers to the yellowish discoloration of the skin and eyes caused by an accumulation of bilirubin, which can occur in cholelithiasis due to obstruction of the bile ducts by gallstones.

Choice B reason:

Erythema refers to redness of the skin and is not related to the client's complaint.

Choice C reason:

Pallor refers to paleness of the skin and is not related to the client's symptom.

Choice D reason:

Petechiae refers to small, pinpoint-sized red or purple spots on the skin caused by bleeding and is not related to the client's symptom.

A. Diarrhea and abdominal cramping. B. Dizziness and lightheadedness. C. Dry mouth and blurred vision. D. Muscle weakness and fatigue.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. UDCA is a medication used to dissolve gallstones, and one of its potential adverse effects is diarrhea and abdominal cramping.

Choice B reason:

Dizziness and lightheadedness are not common adverse effects of UDCA.

Choice C reason:

Dry mouth and blurred vision are not typical adverse effects of UDCA.

Choice D reason:

Muscle weakness and fatigue are not common adverse effects of UDCA.

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A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

Correct Answer is A

Explanation

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

Correct Answer is A

Explanation

A nurse is conducting a health education session for a group of individuals at risk of developing cholelithiasis. Which lifestyle modification should the nurse recommend to help prevent the formation of gallstones?

A nurse is providing postoperative care to a client who had an open cholecystectomy. The client asks when they can resume their normal activities. What is the nurse's best response?

A nurse is caring for a client who underwent a laparoscopic cholecystectomy earlier today. The client reports incisional pain at the surgical site. What is the nurse's priority action?

A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

A client is recovering from a cholecystectomy and is about to be discharged. The nurse provides discharge instructions and emphasizes the importance of a low-fat diet. The client asks, "Why do I need to avoid fatty foods?" What is the nurse's best response?

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

A nurse is assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?