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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Applying a cold pack to the client's upper arm is not the first action. The priority is to assess and address the cause of the edema. Cold packs may be used for comfort, but they do not address the underlying issue.
B. Removing the PICC line is not the first action. Before considering removal, it is essential to assess the extent and cause of the edema. Removing the line without proper evaluation could lead to premature discontinuation of necessary treatment.
C. Notifying the provider who inserted the PICC line is important, but it is not the first action. The nurse needs to assess and intervene promptly. The provider should be informed after initial actions are taken.
D. Stopping the infusion and measuring the circumference of both upper arms is the first action. This helps determine the extent of the edema and whether it is related to the infusion. It is crucial to assess for complications such as infiltration or extravasation of the TPN solution.
Correct Answer is A
Explanation
A. Avoid foods high in fat:
Dietary fat can trigger the gallbladder to release bile, and for individuals with chronic cholecystitis, high-fat meals can exacerbate symptoms such as biliary colic. Therefore, advising the client to avoid foods high in fat can help manage symptoms.
B. Include foods high in starch and proteins:
While protein-rich foods can be included in the diet, a high-fat content should be avoided. Starches can be a part of a balanced diet, but it's essential to focus on low-fat options.
C. Include foods high in fiber:
Including foods high in fiber is generally a good recommendation for digestive health. However, the emphasis here is on avoiding high-fat foods, and the recommendation for fiber should not overshadow the importance of minimizing dietary fat.
D. Avoid foods high in sodium:
Sodium restriction may be relevant for certain health conditions, but it is not the primary dietary consideration for managing chronic cholecystitis. The emphasis in this context is on reducing dietary fat.
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