A nurse is caring for a client who is scheduled for a cholecystectomy due to gallstones. The client asks the nurse what caused the gallstones. Which of the following nurse statements best explains the cause of gallstones?
The gallbladder became infected by a virus and needs to be removed.
The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.
The gallbladder has become blocked by a tumor and is no longer working
The gallbladder has become inflamed due to the cholesterol in the gallstones.
The Correct Answer is D
A. The gallbladder became infected by a virus and needs to be removed: Gallstones are not caused by a viral infection.
B. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct: While gallstones can obstruct the bile duct, leading to inflammation, the best explanation relates to cholesterol as the main cause of stone formation.
C. The gallbladder has become blocked by a tumor and is no longer working: Tumors are not a common cause of gallstones or cholecystitis.
D. The gallbladder has become inflamed due to the cholesterol in the gallstones. Gallstones are typically formed from cholesterol and bile salts. When there is too much cholesterol in the bile, it can form stones that may lead to inflammation of the gallbladder (cholecystitis).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Atorvastatin: Atorvastatin is a statin used to manage cholesterol levels. It is generally safe for use in patients with CKD.
B. Losartan: Losartan is an angiotensin II receptor blocker (ARB) used to manage hypertension and protect the kidneys in diabetic nephropathy. It can be beneficial in CKD patients.
C. Vancomycin: Vancomycin is an antibiotic known to be nephrotoxic, especially in patients with compromised kidney function. It should be used with caution or avoided in patients with CKD.
D. Aspirin: While aspirin can have adverse effects on the kidneys at high doses, its nephrotoxic potential is lower than that of vancomycin. In low doses, aspirin is commonly used for cardiovascular protection, even in patients with CKD.
Correct Answer is D
Explanation
A. The patients have lowered their cholesterol levels from previous laboratory results: Lower cholesterol levels are a positive health outcome but could result from factors other than weight loss, such as medication or diet changes. It is a good sign but not the most direct measure of the intervention's success.
B. The patients have improved blood pressure readings to be within expected reference range: Blood pressure improvements are important and can result from weight loss, but other factors like medications could influence this outcome.
C. The patients are choosing healthier food options for their diet plans: While choosing healthier food options is a positive behavior change, it is a process measure rather than an outcome. It does not necessarily indicate the interventions are working as effectively as a decrease in BMI.
D. There is a significant decrease in the patients' BMI measurements. A significant reduction in BMI is the most direct indicator of effective weight-loss interventions. A decrease in BMI reflects a measurable outcome that directly relates to weight loss.
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