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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Choice A Reason:

Rubeola, also known as measles, is highly contagious and spreads through airborne transmission. The virus can remain infectious in the air for up to two hours after an infected person coughs or sneezes. This makes it one of the most easily spread diseases through airborne particles.

Choice B Reason:

Clostridium difficile (C. diff) is primarily transmitted through the fecal-oral route, not through airborne transmission. It spreads via spores that can survive on surfaces and be ingested, leading to infection.

Choice C Reason:

Varicella, or chickenpox, is transmitted through airborne particles. The virus can spread through direct contact with the fluid from the blisters or through respiratory droplets when an infected person coughs or sneezes. This makes it an airborne disease.

Choice D Reason:

Tuberculosis (TB) is caused by Mycobacterium tuberculosis and spreads through the air when an infected person coughs, speaks, or sings. The bacteria can remain suspended in the air for several hours, making TB an airborne disease.

Choice E Reason:

Staphylococcus aureus is not typically transmitted through airborne means. It spreads through direct contact with infected wounds, contaminated surfaces, or through respiratory droplets in some cases. However, it is not considered an airborne disease.

A. WBC Count 22,000/mm³ B. Hgb 15 g/dL C. Creatine kinase 75 units/L D. Platelet count 200,000/mm³

Correct Answer is A

Explanation

Choice A Reason: WBC Count 22,000/mm³

A white blood cell (WBC) count of 22,000/mm³ is significantly higher than the normal range, which is typically between 4,000 and 11,000/mm³. An elevated WBC count, known as leukocytosis, often indicates the presence of an infection as the body produces more white blood cells to fight off pathogens. This elevated count can also be seen in other conditions such as inflammation, stress, or bone marrow disorders, but it is a strong indicator of infection.

Choice B Reason: Hgb 15 g/dL

Hemoglobin (Hgb) levels of 15 g/dL fall within the normal range for adults, which is generally 13.8 to 17.2 g/dL for males and 12.1 to 15.1 g/dL for females. Normal hemoglobin levels indicate that the blood’s oxygen-carrying capacity is adequate and do not specifically point to an infection.

Choice C Reason: Creatine kinase 75 units/L

Creatine kinase (CK) levels of 75 units/L are within the normal range, which is typically 24 to 204 U/L. CK is an enzyme found in the heart, brain, and skeletal muscle, and elevated levels can indicate muscle damage, myocardial infarction, or other conditions affecting these tissues. However, normal CK levels do not indicate the presence of an infection.

Choice D Reason: Platelet count 200,000/mm³

A platelet count of 200,000/mm³ is within the normal range, which is generally between 150,000 and 450,000 platelets per microliter of blood. Platelets are involved in blood clotting, and normal levels do not indicate an infection. Abnormal platelet counts can be associated with bleeding disorders or thrombosis, but a normal count does not suggest an infection.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infection control nurse is teaching a class about the transmission of infectious agents. The nurse should include that which of the following diseases is transmitted via airborne transmission? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is reviewing laboratory values for a client. Which of the following findings indicates the presence of an infection?

Correct Answer is A

Explanation

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

A nurse is caring for a client who has a cerebral aneurysm. In the event of a ruptured cerebral aneurysm, which of the following manifestations would be present in the client? (Select All that Apply)

A nurse is caring for an older adult client who has osteoporosis. Which of the following should the nurse recognize as the pathophysiology of osteoporosis?

A nurse is providing teaching to a client who has long-term symptoms of GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include in the educational materials?

A nurse is teaching a client who has constipation. Which of the following statements should the nurse include?

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?

A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?