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.

Answer and Explanation

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).

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Correct Answer is C

Explanation

A. Crohn's disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings: This description is more applicable to ulcerative colitis, which involves continuous inflammation and primarily affects the colon and rectum, not Crohn's disease, which can affect any part of the GI tract.

B. Crohn's disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract: While this is an accurate medical description of Crohn’s disease, it uses technical language that may be difficult for a patient to understand.

C. Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores. This description provides a clear and visual explanation of the nature of Crohn’s disease, which typically affects the gastrointestinal tract in a "skip lesion" pattern, where some areas are inflamed (sores), and others appear normal (clear areas).

D. Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only: This description is inaccurate for Crohn’s disease, as it implies the disease is limited to the colon and rectum, which is not the case. Crohn’s can affect any part of the gastrointestinal tract from the mouth to the anus.

A. Elevate the head of the bed to 90 degrees B. Administer a bronchodilator as prescribed. C. Check the placement of the NG tube to ensure it has not dislodged into the lungs. D. Increase the flow rate of the patient’s oxygen therapy.

Correct Answer is C

Explanation

A. Elevate the head of the bed to 90 degrees: While elevating the head of the bed may help ease breathing, it does not address the potential issue of NG tube misplacement.

B. Administer a bronchodilator as prescribed: This would only be appropriate if the patient’s respiratory distress were related to bronchospasm or asthma, not NG tube displacement.

C. Check the placement of the NG tube to ensure it has not dislodged into the lungs. When a patient with an NG tube experiences respiratory distress, the tube may have dislodged and entered the respiratory tract, which could obstruct breathing. Verifying the placement of the NG tube is critical to preventing aspiration or further complications.

D. Increase the flow rate of the patient’s oxygen therapy: This may provide temporary relief but does not resolve the underlying cause of the distress if the NG tube has entered the respiratory tract.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client who has recently been diagnosed with Crohn's disease. Which of the following explanations by the nurse best simplifies and explains the disorder in non-medical terms?

Correct Answer is C

Explanation

A patient with a nasogastric (NG) tube in place is experiencing respiratory distress. What is the most appropriate initial nursing intervention?

Correct Answer is C

Explanation

A patient with Crohn's disease is being discharged from the hospital. The nurse is providing dietary teaching to the patient. Which of the following statements by the patient indicates a correct understanding of the dietary recommendations?

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During the process of collecting a comprehensive medical history from a client who has been admitted with pyelonephritis, which of the following symptoms or historical details would the nurse most likely expect the client to report?

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?

A female patient recently underwent a partial gastrectomy and is now presenting with symptoms of weakness, dizziness, and sweating, particularly after meals. Based on these symptoms, what is the most likely diagnosis?

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