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.
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Related Questions
Correct Answer is C
Explanation
A. Insulin glargine does not have a duration of 3 to 6 hours. This duration of action is much shorter than the actual duration of insulin glargine.
B. Insulin glargine does not have a duration of 14 to 22 hours. This duration is shorter than the typical duration of action for insulin glargine.
C. Insulin glargine, a long-acting insulin, has a duration of action that lasts approximately 24 to 36 hours. It provides a slow and steady release of insulin, offering a relatively consistent blood sugar-lowering effect over an extended period.
D. Insulin glargine does not have a duration of 6 to 10 hours. This duration is shorter than the actual duration of action for insulin glargine.
Correct Answer is C
Explanation
A. Calcium:
While calcium levels can be affected in pancreatitis, it is more commonly associated with a decrease in calcium levels due to fat necrosis and the formation of calcium soaps. However, the primary electrolyte disturbance is more likely to involve magnesium.
B. Magnesium:
Magnesium levels may be decreased in acute pancreatitis due to factors such as vomiting, malabsorption, and poor oral intake. Hypomagnesemia is a possible consequence, but it's not as specific to pancreatitis as the elevation of amylase.
C. Amylase:
Elevated amylase levels are a hallmark of acute pancreatitis. Amylase is an enzyme released by the pancreas, and its elevation in the blood is a key diagnostic marker for pancreatitis.
D. RBC count:
Acute pancreatitis does not typically result in a significant impact on the red blood cell (RBC) count. The elevation of amylase and lipase levels, along with imaging studies, is more indicative of pancreatitis.
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