A nurse is providing education to a client who needs a cholecystectomy due to a build-up of calculi or gallstones. Which of the following is the best response from the nurse to explain what caused this problem?
The gallbladder has become blocked by a tumor and is no longer working.
The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct.
The gallbladder has become inflamed due to the cholesterol in the gallstones.
The gallbladder became infected by a virus and needs to be removed.
The Correct Answer is B
Choice A Reason:
This option suggests that the gallbladder is blocked by a tumor. While tumors can cause blockages, they are not the most common cause of gallbladder inflammation requiring a cholecystectomy. Gallstones are a more frequent cause of such issues.
Choice B Reason:
This is the correct answer. Gallstones can block the common bile duct, leading to inflammation of the gallbladder, a condition known as cholecystitis. This blockage prevents bile from flowing out of the gallbladder, causing pain and potentially leading to infection.
Choice C Reason:
While cholesterol is a component of many gallstones, the inflammation of the gallbladder is typically due to the physical blockage caused by the stones rather than the cholesterol itself. The blockage leads to bile buildup and subsequent inflammation.
Choice D Reason:
Gallbladder infections caused by viruses are extremely rare. Most gallbladder infections are bacterial and occur secondary to blockages caused by gallstones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason: Try to defecate at different times of the day
This statement is not advisable for clients with constipation. Regularity is key in managing constipation. Encouraging the client to try to defecate at the same time each day can help establish a routine and improve bowel regularity. The body’s natural circadian rhythms can aid in this process, making it easier to have a bowel movement at a consistent time.
Choice B Reason: Consume a low-fiber diet
A low-fiber diet is not recommended for clients with constipation. Fiber adds bulk to the stool and helps it pass more easily through the intestines. Foods high in fiber include fruits, vegetables, whole grains, and legumes. Increasing dietary fiber intake is a common and effective strategy for managing constipation. The recommended daily intake of fiber is 25 grams for women and 38 grams for men.
Choice C Reason: Reduce your daily activity
Reducing daily activity is not beneficial for managing constipation. Physical activity helps stimulate intestinal function and can promote regular bowel movements. Encouraging clients to engage in regular exercise, such as walking, swimming, or yoga, can help alleviate constipation. The American Heart Association recommends at least 150 minutes of moderate-intensity aerobic activity per week.
Choice D Reason: Increase your daily fluid intake
Increasing daily fluid intake is a key recommendation for managing constipation. Fluids help soften the stool, making it easier to pass. Water is the best choice, but other fluids like herbal teas and clear soups can also be beneficial. It is generally recommended to drink at least 8 cups (64 ounces) of water per day, though individual needs may vary based on factors such as age, sex, and activity level.
Correct Answer is B
Explanation
Choice A Reason: Avoid wearing tight-fitting clothing
Avoiding tight-fitting clothing is not specifically related to the management of acute pancreatitis. While comfortable clothing can be beneficial for general well-being, it does not directly impact the condition or its management. The primary focus for managing acute pancreatitis involves dietary and lifestyle changes that reduce stress on the pancreas.
Choice B Reason: Cease from smoking and consuming alcohol
Ceasing from smoking and consuming alcohol is crucial for clients with acute pancreatitis. Alcohol is a major risk factor for pancreatitis, and continued consumption can exacerbate the condition and lead to chronic pancreatitis or other complications. Smoking also has detrimental effects on the pancreas and can worsen the prognosis. Therefore, it is essential to advise clients to stop these habits to promote healing and prevent recurrence.
Choice C Reason: Practice good dental hygiene
While good dental hygiene is important for overall health, it is not specifically related to the management of acute pancreatitis. The primary concerns for pancreatitis management involve dietary adjustments, avoiding alcohol and smoking, and monitoring for symptoms of recurrence.
Choice D Reason: Stop exercising
Stopping exercise is not recommended for clients with acute pancreatitis. In fact, regular physical activity can be beneficial for overall health and well-being. However, clients should avoid strenuous activities during the acute phase of pancreatitis and gradually resume exercise as they recover. The focus should be on balanced, moderate physical activity that supports overall health without overexerting the body.
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