A nurse is reinforcing teaching with a client who needs to have a cholecystectomy due to gallstones. Which of the following is the best response from the nurse to explain what caused this problem?

The gallbladder became infected by a virus and needs to be removed.

The gallbladder has become inflamed due to the cholesterol in the gallstones,

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.

Answer and Explanation

The Correct Answer is B

A. The gallbladder became infected by a virus and needs to be removed. Gallstones are not caused by viral infections; they typically develop from an imbalance in the substances that make up bile, such as cholesterol and bilirubin.

B. The gallbladder has become inflamed due to the cholesterol in the gallstones. Cholesterol is a common component of gallstones, and these stones can cause inflammation of the gallbladder (cholecystitis), leading to the need for removal.

C. The gallbladder has become blocked by a tumor and is no longer working. Tumors can obstruct the gallbladder, but this is not the cause of gallstones or the primary reason for a cholecystectomy.

D. The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct. This describes choledocholithiasis, a condition where gallstones block the common bile duct, but it is not the primary cause of gallbladder inflammation requiring a cholecystectomy.

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Correct Answer is B

Explanation

A. The client states that they consume a high calcium diet and have had high calcium in their blood. A high calcium diet or hypercalcemia is more associated with kidney stones, not typically with pyelonephritis.

B. The client reports that they had two urinary tract infections (UTI) in the past months. Recurrent UTIs are a risk factor for pyelonephritis, as untreated or recurrent infections can ascend from the bladder to the kidneys, leading to this condition.

C. The client states that they remember their mother saying their grandma had this same genetic disease. Pyelonephritis is not typically a genetic disease but rather an infection of the kidneys, often secondary to urinary tract infections.

D. The client reports that they took a lot of ibuprofen for arthritis for many years. Long-term NSAID use can impact kidney function but does not directly cause pyelonephritis.

A. Encourage the client to walk on the injured ankle to promote circulation. B. Immerse the ankle in want water immediately after the in C. Apply ice to the affected ankle for the first 24-72 hours. D. Perform deep tissue massage on the injured area to reduce pain.

Correct Answer is C

Explanation

A. Encourage the client to walk on the injured ankle to promote circulation. Weight-bearing activities should be avoided initially after a Grade II sprain to prevent further injury.

B. Immerse the ankle in warm water immediately after the injury. Ice, rather than warmth, is recommended immediately following an injury to reduce swelling and inflammation.

C. Apply ice to the affected ankle for the first 24-72 hours. Applying ice for 24-72 hours helps reduce swelling and pain by causing vasoconstriction and controlling inflammation in the acute phase.

D. Perform deep tissue massage on the injured area to reduce pain. Massaging a newly sprained ankle can aggravate inflammation and cause additional tissue damage.

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A nurse is reinforcing teaching with a client who needs to have a cholecystectomy due to 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

A nurse is gathering medical history from a client admitted for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

Correct Answer is B

Explanation

A client presents the emergency department with a Grade II ankle sprain. Which of the following interventions should the nurse implement?

Correct Answer is C

Explanation

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