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 A

Explanation

A. Cheddar cheese:

Cheddar cheese is high in fat, and individuals with a history of pancreatitis are often advised to limit their fat intake. High-fat foods can stimulate the pancreas to release digestive enzymes, potentially triggering or exacerbating pancreatitis.

B. Vegetable soup:

Depending on the ingredients, vegetable soup may or may not be high in fat. The key consideration is to choose soups that are not prepared with excessive amounts of fat or oil.

C. Noodles:

Noodles, by themselves, are not high in fat. However, the choice of sauce or toppings can impact the overall fat content of the meal. It's important to consider the entire composition of the dish.

D. Baked fish:

Baked fish is generally a lean protein source and is lower in fat compared to some other protein sources. Baked fish is often considered a suitable choice for individuals with a history of pancreatitis.

A. Test the client's emesis for blood. B. Assess orthostatic blood pressure. C. Explain the procedure for an upper gastrointestinal series. D. Administer pain medication.

Correct Answer is B

Explanation

A. Testing the client's emesis for blood is an important assessment, but assessing orthostatic blood pressure is a priority. Orthostatic blood pressure measurement helps identify if the client is experiencing significant blood loss, as changes in blood pressure upon standing may indicate hypovolemia.

B. Assessing orthostatic blood pressure is the priority action. Orthostatic hypotension can be a sign of decreased circulating blood volume, which is a concern in clients with gastrointestinal bleeding.

C. Explaining the procedure for an upper gastrointestinal series is not the first priority. While diagnostic tests may be needed, addressing the immediate concern of potential hypovolemia takes precedence.

D. Administering pain medication is not the first action. The priority is to assess and address the potential complications of gastrointestinal bleeding, such as hypovolemia.

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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?

Nursing Test Bank

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