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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Hepatitis A does not infect the kidneys. Hepatitis A is a viral infection that primarily affects the liver, causing inflammation.

B. Manifestations of hepatitis A are indeed similar to flu-like symptoms. Common symptoms include fever, fatigue, nausea, vomiting, abdominal pain, loss of appetite, and jaundice (yellowing of the skin and eyes).

C. The incubation period for hepatitis A is typically 15 to 50 days, not 5 days. The incubation period is the time between exposure to the virus and the onset of symptoms.

D. A family history is not a significant risk factor for acquiring hepatitis A. Hepatitis A is primarily transmitted through the fecal-oral route, often due to contaminated food or water. It is more commonly associated with exposure to the virus through contaminated environments or ingestion of contaminated food or water.

A. Autocratic B. Scientific C. Democratic D. Laizzez-faire

Correct Answer is C

Explanation

A. Autocratic:

Autocratic leadership involves making decisions without seeking input from others. In this scenario, the charge nurse is eliciting opinions from all group members and organizing a vote, which suggests a more collaborative approach rather than a purely autocratic one.

B. Scientific:

Scientific leadership, often associated with Frederick Taylor's principles of scientific management, involves using data and analysis to make decisions. The scenario does not provide information suggesting a strong emphasis on scientific principles in the decision-making process.

C. Democratic:

Democratic leadership involves including team members in decision-making, seeking their opinions, and often using a voting or consensus-building approach. The charge nurse's approach of eliciting opinions and organizing a vote aligns with democratic leadership.

D. Laizzez-faire:

Laissez-faire leadership involves a hands-off approach, where the leader allows group members considerable freedom to make decisions. In the scenario, the charge nurse is actively seeking input and organizing a vote, which is more indicative of a democratic style rather than laissez-faire.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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