A nurse is caring for a client who has cholecystitis with cholelithiasis and obstruction of the common bile duct. The nurse should expect the client's urine to appear which of the following colors?
Pale yellow
Red
Greenish-brown
Dark and concentrated
The Correct Answer is C
Choice A reason: Pale yellow is the normal color of urine, indicating adequate hydration and no bilirubin in the urine. Bilirubin is a pigment that is produced when red blood cells are broken down. It is normally excreted in the bile, but if the bile duct is obstructed, it can accumulate in the blood and urine, causing jaundice and dark urine.
Choice B reason: Red urine can indicate blood in the urine, which can be caused by various conditions such as urinary tract infection, kidney stones, trauma, or cancer. It is not related to bile duct obstruction or cholecystitis.
Choice C reason: Greenish-brown urine can indicate bilirubin in the urine, which can be caused by bile duct obstruction or liver disease. It is a sign of cholestasis, which is a reduced or stopped flow of bile. The nurse should monitor the client for other signs of cholestasis such as jaundice, clay-colored stools, pruritus, and abdominal pain.
Choice D reason: Dark and concentrated urine can indicate dehydration, which can be caused by various factors such as fluid loss, fever, vomiting, or diarrhea. It is not related to bile duct obstruction or cholecystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Active transport is the process of moving molecules across a cell membrane against a concentration gradient, requiring energy.
Choice B reason: Diffusion is the process of moving molecules from an area of high concentration to an area of low concentration, without using energy.
Choice C reason: Filtration is the process of moving fluid and solutes through a membrane by a pressure gradient.
Choice D reason: Osmosis is the process of moving water across a semipermeable membrane from an area of low solute concentration to an area of high solute concentration.
Correct Answer is A
Explanation
Choice A reason: Sudden abdominal pain is a sign of gastrointestinal perforation, which is a life-threatening complication of peptic ulcer disease. It occurs when the ulcer erodes through the wall of the stomach or duodenum, causing leakage of gastric contents into the peritoneal cavity. This causes inflammation, infection, and peritonitis.
Choice B reason: Hyperactive bowel sounds are not indicative of gastrointestinal perforation. They may be present in other conditions, such as gastroenteritis, intestinal obstruction, or diarrhea.
Choice C reason: Bradycardia is not indicative of gastrointestinal perforation. It may be caused by other factors, such as vagal stimulation, medication side effects, or cardiac disorders.
Choice D reason: Decreased blood pressure is not indicative of gastrointestinal perforation. It may be a result of other causes, such as hypovolemia, shock, or dehydration.
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