The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

eats a high fiber diet.

has had a normal weight gain with her pregnancy.

is of African-American ancestry.

is 8 months pregnant.

Answer and Explanation

The Correct Answer is D

D. Pregnancy is a known risk factor for gallstone formation and cholecystitis. Hormonal changes during pregnancy, particularly increased levels of estrogen, can lead to increased cholesterol saturation in bile, decreased gallbladder emptying, and increased risk of gallstone formation.
A. Fiber helps to regulate bowel movements and may decrease cholesterol levels in bile, thereby reducing the likelihood of gallstone formation.
B. Pregnancy itself can predispose individuals to gallstone formation due to hormonal changes that increase cholesterol saturation in bile. However, normal weight gain reduces the risk of cholecystitis.
C. Certain ethnicities, including individuals of Native American, Hispanic, and African-American ancestry, have a higher prevalence of gallstones compared to other populations. However, ethnicity alone may not be a direct cause of acute cholecystitis.

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Correct Answer is C

Explanation

C. Decrease the rate to 27.1 mL/hr until the new bag is brought to the unit: This option is a suitable approach to conserve the remaining TPN solution until the new bag arrives. By halving the infusion rate, the remaining volume of TPN will last longer, ensuring the client continues to receive some nutrition and fluid support while awaiting the delivery of the new bag.
A. While it's important to inform the healthcare team about the low volume of TPN remaining, it may not require immediate physician intervention unless the situation worsens or alternative actions need to be taken.
B. Notifying the pharmacy when the bag is empty is a reasonable action, as they can prepare and deliver the next infusion bag promptly. However, it does not address the immediate need for fluid and nutrition replacement.
D. D10W (dextrose 10% in water) can help prevent hypoglycemia and provide some energy, but it does not provide the full nutritional support that TPN does. However, it can be a reasonable short- term measure while waiting for the replacement TPN bag.

A. Walking for 30 minutes daily B. High energy bursts of exercise throughout the day C. Lifting weights three times a week D. Three sets of push-ups every morning followed by three set of abdominal thrusts

Correct Answer is A

Explanation

A. Walking is a low-impact aerobic exercise that can be beneficial for individuals preparing for bariatric surgery. It helps improve cardiovascular health, burn calories, and increase overall physical activity levels. Walking for 30 minutes daily is a reasonable and achievable goal for many individuals, including those preparing for bariatric surgery. It can also help with weight loss and improve overall fitness levels.
B. While HIIT can be effective for improving cardiovascular fitness and burning calories, it may not be suitable for all individuals preparing for bariatric surgery. HIIT can be challenging for individuals who are overweight or have limited mobility, and it may increase the risk of injury if not performed safely.
C. Strength training, including lifting weights helps build muscle mass, improve metabolism, and enhance overall strength and fitness. However, it's essential to ensure that weightlifting exercises are performed safely and under proper supervision.
D. While push-ups and abdominal thrusts are strength-training exercises that can help build muscle strength and improve core stability, this regimen may be too intense or challenging for many individuals preparing for bariatric surgery.

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The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client receiving a TPN Infusion running at 54.2 mL/hr and there is only 25 mL remaining in the bag. The next Infusion bag has not been brought to the unit. Which action would be appropriate?

Correct Answer is C

Explanation

A client is preparing for bariatric surgery. The nurse advises that which form of exercise would be most beneficial for this client?

Correct Answer is A

Explanation

The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

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