A nurse is assessing a client diagnosed with an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?
Fatty stools
Tenderness in the left upper abdomen
Straw-colored urine
Ecchymosis of the extremities
The Correct Answer is A
A. Fatty stools:
Obstruction of the common bile duct can result in impaired bile flow, leading to a decrease in bile salts reaching the intestine. This can result in the malabsorption of fats, causing fatty or greasy stools (steatorrhea).
B. Tenderness in the left upper abdomen:
Tenderness in the left upper abdomen might be more commonly associated with conditions like splenic issues or stomach problems rather than an obstruction of the common bile duct.
C. Straw-colored urine:
Straw-colored urine is typical of well-hydrated individuals and might not directly correlate with an obstruction of the common bile duct.
D. Ecchymosis of the extremities:
Ecchymosis (bruising) of the extremities is not typically associated with an obstruction of the common bile duct resulting from chronic cholecystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lactulose is not used to decrease potassium levels. It is a laxative that works by drawing water into the colon, softening stools and promoting bowel movements.
B. Lactulose is used to decrease ammonia levels in clients with cirrhosis. Ammonia is a byproduct of protein metabolism, and when the liver is compromised, it may not effectively convert ammonia into urea, leading to elevated ammonia levels in the bloodstream. Lactulose helps reduce ammonia absorption in the colon.
C. Lactulose does not decrease glucose levels significantly. It is not primarily used as an antidiabetic medication.
D. Lactulose does not affect bicarbonate levels significantly. It primarily targets ammonia reduction in clients with cirrhosis.
Correct Answer is ["A","B","D","E"]
Explanation
A. Is used to replace fluid loss.
Isotonic solutions, such as normal saline (0.9% NaCl) and lactated Ringer's solution, are used to replace fluid loss in situations such as dehydration, surgery, trauma, or other conditions where there is a need for fluid resuscitation.
B. Usually do not provide calories.
Isotonic solutions typically do not contain calories. They are designed primarily for fluid replacement and do not contribute to the nutritional needs of the patient.
C. Does not expand intravascular volume.
This statement is incorrect. Isotonic solutions are used to expand intravascular volume. When infused into the bloodstream, isotonic solutions help restore and maintain adequate blood volume. They do not cause significant shifts of fluids between compartments.
D. Mostly do not provide free water.
Isotonic solutions generally do not provide free water. They have the same osmolality as body fluids, meaning that they do not cause a net movement of water into or out of cells, and they maintain the osmotic balance.
E. Has the same osmolality as body fluids.
Isotonic solutions have the same osmolality as body fluids, which means they do not cause a net movement of water into or out of cells. This characteristic makes them suitable for situations where there is a need to expand intravascular volume without causing significant shifts in fluid compartments.
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