A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?

Red

Greenish-brown

Dark and foamy

Pale yellow

Answer and Explanation

The Correct Answer is C

Choice A reason: Red urine can indicate the presence of blood, which is not typically associated with cholecystitis. This finding might be more related to urinary tract issues or hematuria.
Choice B reason: Greenish-brown urine is not a common description for urine changes associated with cholecystitis. It does not reflect the typical bilirubin-induced color changes.
Choice C reason: Dark and foamy urine is associated with cholecystitis due to the presence of excess bilirubin in the urine. The dark color indicates the liver's bile is backing up due to the inflamed gallbladder, and the foaminess can result from high bilirubin levels.
Choice D reason: Pale yellow urine is normal and does not indicate cholecystitis. It suggests proper hydration and normal urine function.

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Correct Answer is B

Explanation

Choice A reason: Increasing the intake of raw vegetables is not typically recommended immediately after colostomy surgery due to the potential for causing gas and irritation in the bowel. A more balanced diet should be gradually introduced.
Choice B reason: It is common to experience a small amount of bleeding around the stoma initially as it heals. This is normal and should subside as the healing process continues.
Choice C reason: Fecal output usually begins within 2-4 days after surgery, not necessarily within 24 hours. The bowel needs time to adjust and start functioning properly after the operation.
Choice D reason: The stoma should be pink to red and moist, indicating healthy tissue. A purplish color may indicate compromised blood flow and requires immediate medical attention.

A. Hyperactive bowel sounds B. Increased urinary output C. Frequent bowel movements D. Rigid abdomen

Correct Answer is D

Explanation

Choice A reason: Hyperactive bowel sounds are not typically associated with peritonitis. Instead, peritonitis often leads to decreased or absent bowel sounds due to the inflammation and subsequent ileus (paralysis of the bowel), which slows down or halts peristalsis.
Choice B reason: Increased urinary output is not a common symptom of peritonitis. In fact, peritonitis can sometimes result in reduced urine output due to the body's response to infection and inflammation, which can affect kidney function.
Choice C reason: Frequent bowel movements are not characteristic of peritonitis. The inflammation in the peritoneal cavity often leads to bowel paralysis, resulting in decreased bowel movements rather than increased frequency.
Choice D reason: A rigid abdomen is a hallmark sign of peritonitis. The rigidity is due to the body's protective response to the severe inflammation in the peritoneal cavity, causing the abdominal muscles to tighten and become hard. This clinical sign, along with severe pain, can help healthcare providers diagnose peritonitis.

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A nurse is caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is assessing a client who has peritonitis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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