A client with suspected cholecystitis presents with jaundice and dark-colored urine. Which of the following clinical manifestations should the nurse associate with these findings?
Elevated white blood cell count
Impaired blood clotting
Increased bilirubin levels
Elevated serum amylase
The Correct Answer is C
Choice A reason:
Elevated white blood cell count may indicate inflammation or infection, but it is not directly related to jaundice and dark-colored urine, which are characteristic of increased bilirubin levels.
Choice B reason:
Impaired blood clotting is not directly related to jaundice and dark-colored urine. It may be a concern in liver disease but does not explain the specific manifestations mentioned in the question.
Choice C reason:
This statement is correct. Jaundice and dark-colored urine are indicative of increased bilirubin levels in the blood, which can occur in cholecystitis due to obstruction of the bile ducts.
Choice D reason:
Elevated serum amylase is more associated with pancreatitis rather than cholecystitis. It is not directly related to the clinical manifestations described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Taking NSAIDs with food can help reduce stomach irritation and the risk of developing peptic ulcers.
Choice B reason:
This statement is correct. Dark, tarry stools may indicate gastrointestinal bleeding, a potential complication of peptic ulcer disease. The client should promptly notify their healthcare provider if they experience this symptom.
Choice C reason:
This statement is incorrect and indicates a need for further education. While antacids can provide temporary relief from heartburn, they do not address the underlying issue of stomach irritation caused by NSAIDs. The client should avoid NSAIDs or discuss alternative pain management strategies with their healthcare provider.
Choice D reason:
Avoiding alcohol is advisable while on NSAIDs as alcohol can increase the risk of gastrointestinal bleeding and worsen peptic ulcer disease.
Correct Answer is B
Explanation
Choice A reason:
Increasing the intake of spicy foods can exacerbate symptoms in a client with peptic ulcer disease, as they can irritate the stomach lining and increase acid production.
Choice B reason:
This statement is correct. Consuming small, frequent meals throughout the day can help reduce stomach distention and pressure, minimizing the symptoms of peptic ulcer disease.
Choice C reason:
Avoiding fluids with meals is not a standard recommendation for peptic ulcer disease. Adequate hydration is important, and drinking fluids with meals should not significantly affect stomach distention.
Choice D reason:
Citrus fruits and juices are acidic and can aggravate the stomach lining in a client with peptic ulcer disease. It is best to avoid or limit their consumption.
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