A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

Jaundice.

Erythema.

Pallor.

Petechiae.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Jaundice refers to the yellowish discoloration of the skin and eyes caused by an accumulation of bilirubin, which can occur in cholelithiasis due to obstruction of the bile ducts by gallstones.

Choice B reason:

Erythema refers to redness of the skin and is not related to the client's complaint.

Choice C reason:

Pallor refers to paleness of the skin and is not related to the client's symptom.

Choice D reason:

Petechiae refers to small, pinpoint-sized red or purple spots on the skin caused by bleeding and is not related to the client's symptom.

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Correct Answer is A

Explanation

Choice A reason:

This statement is correct. A family history of gallbladder disease is a significant risk factor for cholelithiasis, and the 25-year-old male is at the highest risk among the options provided.

Choice B reason:

A low-fat diet and regular exercise may help reduce the risk of developing cholelithiasis, so the 40-year-old female is at a lower risk compared to the other options.

Choice C reason:

A history of diabetes and hypertension may increase the risk of certain health problems, but they are not the primary risk factors for cholelithiasis in this context.

Choice D reason:

Undergoing bariatric surgery for weight loss may affect the risk of developing gallstones, but it is not the highest risk factor among the options provided.

A. Frequent consumption of whole grains and vegetables. B. Engaging in regular physical activity and exercise. C. Sedentary lifestyle and prolonged sitting. D. High consumption of lean protein and low-fat dairy products.

Correct Answer is C

Explanation

Choice A reason:

Frequent consumption of whole grains and vegetables is generally beneficial for health and may not significantly impact the risk of gallstone formation.

Choice B reason:

Engaging in regular physical activity and exercise is important for overall health, but it is not the primary risk factor for cholelithiasis among the options provided.

Choice C reason:

This statement is correct. A sedentary lifestyle and prolonged sitting are significant risk factors for gallstone formation. Physical inactivity can contribute to gallbladder stasis and increase the risk of gallstone development.

Choice D reason:

High consumption of lean protein and low-fat dairy products may be part of a healthy diet, but they are not the primary risk factor for cholelithiasis.

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A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health screening at a community event. Which client is at the highest risk of developing cholelithiasis based on the risk factors?

Correct Answer is A

Explanation

A nurse is providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?

Correct Answer is C

Explanation

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

A nurse is providing discharge instructions to a client who underwent cholecystectomy for cholelithiasis. Which statement by the client indicates a need for further teaching?

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

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A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

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