A patient has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The patient is scheduled for an appendectomy but questions the nurse about how his health will be affected by the absence of an appendix. How should the nurse best respond?

"Your large intestine will adapt over time to the absence of your appendix."

"Your appendix doesn't play a major role, so you won't notice any difference after you recover from surgery."

"Your body will absorb slightly fewer nutrients from the food you eat, but you won't be aware of this."

"The surgeon will encourage you to limit your fat intake for a few weeks after the surgery, but your body will then begin to compensate."

Answer and Explanation

The Correct Answer is B

Choice A reason:

This statement may not be entirely accurate. While other parts of the digestive system can compensate to some extent, the primary function of the appendix is not related to the large intestine's adaptation.

Choice B reason:

This is the correct answer. The appendix is considered a vestigial organ, meaning it doesn't have a major function in humans. Its removal typically doesn't lead to noticeable changes in overall health or digestion.

Choice C reason:

While the appendix does have some immune functions, the impact on nutrient absorption is minimal, and its removal is unlikely to lead to a significant difference in nutrient absorption.

Choice D reason:

Limiting fat intake after surgery is not a standard recommendation following an appendectomy. The statement may cause unnecessary concern for the patient.

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Correct Answer is A

Explanation

Choice A reason:

Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.

Choice B reason:

While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.

Choice C reason:

Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.

Choice D reason:

Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.

A. Include foods high in fiber. B. Include foods high in starch and proteins. C. Avoid foods high in fat. D. Avoid foods high in sodium.

Correct Answer is C

Explanation

Choice A reason:

While foods high in fiber are generally healthy, they may not specifically address the issue of biliary colic related to cholecystitis.

Choice B reason:

Foods high in starch and proteins are important for overall nutrition, but they may not directly impact biliary colic.

Choice C reason:

This statement is correct. Avoiding foods high in fat is crucial for managing biliary colic in clients with chronic cholecystitis.

Choice D reason:

Avoiding foods high in sodium is important for cardiovascular health, but it is not the primary dietary modification for cholecystitis.

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A patient has been brought to the emergency department with abdominal pain and is subsequently diagnosed with appendicitis. The patient is scheduled for an appendectomy but questions the nurse about how his health will be affected by the absence of an appendix. How should the nurse best respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Correct Answer is A

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is C

Explanation

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

The management of the patient's gastrostomy is an assessment priority for the home care nurse. What statement would indicate that the patient is managing the tube correctly?

A patient is receiving education about his upcoming Billroth I procedure (gastroduodenostomy). This patient should be informed that he may experience which of the following adverse effects associated with this procedure?

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client s understanding of the teaching? (Select all that apply)

A nurse is performing an abdominal assessment of an older adult patient. When collecting and analyzing data, the nurse should be cognizant of what age-related change in gastrointestinal structure and function?

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