A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?

Ecchymosis of the extremities

Tenderness in the left upper abdomen

Straw-colored urine

Fatty stools

Answer and Explanation

The Correct Answer is D

A. Ecchymosis of the extremities: Ecchymosis refers to the medical term for a bruise. It's characterized by a discoloration of the skin resulting from bleeding underneath, typically caused by trauma to the blood vessels. This is not directly related to cholelithiasis.

B. Tenderness in the left upper abdomen: Tenderness in the left upper abdomen might be associated with conditions such as pancreatitis or splenic issues, not directly with obstruction and inflammation of the common bile duct due to cholelithiasis.

C. Straw-colored urine: Straw-colored urine is normal and healthy. Dark-colored or cloudy urine might indicate underlying issues, but straw-colored urine is generally a sign of proper hydration.

D. Fatty stools: When the common bile duct is obstructed due to cholelithiasis, proper digestion of fats doesn't occur, leading to the passage of fatty stools. This is due to the inability to properly digest and absorb fats, leading to their presence in the stool.

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Correct Answer is D

Explanation

A. Headache: Omeprazole is not primarily used to treat headaches. While it might indirectly alleviate headaches caused by acid reflux or heartburn, its primary purpose is to reduce stomach acid production.

B. Diarrhea: Omeprazole is not typically used to treat diarrhea. Diarrhea can have various causes, including infections or dietary issues, and treatment would depend on the underlying cause.

C. Nausea: While omeprazole may indirectly help with nausea caused by excessive stomach acid, its main role is to reduce acid production. If nausea is due to other causes, such as medications or infections, different treatments might be necessary.

D. Acid indigestion: This is the correct answer. Omeprazole is very effective at relieving symptoms of acid indigestion, heartburn, and gastroesophageal reflux disease (GERD). It works by reducing the production of stomach acid, thereby alleviating discomfort associated with excess acid.

A. Slight bleeding of the stoma site B. Purplish colored stoma C. No stool noted in the collection bag D. Edematous stoma

Correct Answer is B

Explanation

A. Slight bleeding of the stoma site: This is typically normal in the immediate postoperative period. It's caused by surgical trauma and should improve with time. However, if it becomes excessive, it should be reported.

B. Purplish colored stoma: A purplish or bluish color of the stoma can be an indication of inadequate blood supply (ischemia). This is a concerning finding and should be reported promptly to the provider.

C. No stool noted in the collection bag: It's normal not to have stool in the collection bag immediately after surgery since the digestive system needs time to resume normal function. This is usually not a concern within the first 12 hours postoperatively. However, if it continues beyond this time frame, it should be reported.

D. Edematous stoma: Some edema or swelling around the stoma site can be normal initially after surgery. However, if the stoma becomes significantly edematous or starts to compromise blood flow, this should be reported to the provider.

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A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?

Nursing Test Bank

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