A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?
"Obesity increases the production of bile, reducing the risk of gallstone formation."
"Obesity leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation."
"Obesity increases the concentration of cholesterol in the bile, promoting gallstone formation."
"Obesity slows down the emptying of the gallbladder, reducing the risk of gallstone formation."
The Correct Answer is C
Choice A reason:
Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.
Choice C reason:
This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.
Choice D reason:
Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
This statement is incorrect. The HIDA scan does not use magnetic resonance imaging (MRI) to visualize the gallbladder. It is a nuclear medicine test that uses a radioactive tracer.
Choice B reason:
This statement is incorrect. While the HIDA scan involves the use of a radioactive tracer, its purpose is not to evaluate liver function. Instead, it assesses the biliary system and gallbladder.
Choice C reason:
This statement is correct. The HIDA scan is a nuclear medicine test used to assess the patency of the biliary system and the emptying of the gallbladder. A radioactive tracer is injected into the client's bloodstream, and its uptake and excretion into the biliary system are monitored.
Choice D reason:
This statement is incorrect. The HIDA scan does not involve the use of an endoscope. It is a non-invasive imaging test that is performed externally, not internally.
Correct Answer is A
Explanation
Choice A reason:
This statement is correct and explains the difference between acute and chronic cholecystitis. Acute cholecystitis is characterized by a sudden onset of inflammation, often caused by gallstones blocking the cystic duct. On the other hand, chronic cholecystitis is a long-standing inflammation resulting from repeated episodes of acute cholecystitis or chronic irritation from gallstones.
Choice B reason:
This statement is incorrect. While gallstones can be a cause of both acute and chronic cholecystitis, gallbladder cancer is not a typical cause of either condition.
Choice C reason:
This statement is incorrect. Acute cholecystitis can affect individuals of all age groups, and age is not a differentiating factor between acute and chronic cholecystitis.
Choice D reason:
This statement is incorrect. Both acute and chronic cholecystitis may require surgical intervention, depending on the severity and complications of the condition. Lifestyle modifications are often recommended to prevent gallstone formation and manage symptoms, but they are not the sole treatment for acute cholecystitis.
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