Which condition causes the formation of biliary sludge?
Hepatitis
Bile stasis
Ascites
Biliary colic
The Correct Answer is B
Choice A reason: Hepatitis is inflammation of the liver and does not directly cause biliary sludge. It can lead to liver damage and other complications, but not specifically biliary sludge.
Choice B reason: Bile stasis, or the stagnation of bile, leads to the formation of biliary sludge. When bile does not flow properly, it can thicken and form sludge, which consists of bile salts, cholesterol, and other substances.
Choice C reason: Ascites is the accumulation of fluid in the peritoneal cavity, typically due to liver disease, and does not cause biliary sludge.
Choice D reason: Biliary colic is pain caused by the obstruction of the bile ducts, often by gallstones, but it does not itself cause the formation of biliary sludge. Sludge can lead to biliary colic if it obstructs the bile ducts, but it is not a causative condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Wearing an external collection bag is typically associated with other types of urinary diversions, such as an ileal conduit, not a neobladder.
Choice B reason: A neobladder involves the creation of an internal pouch from a segment of the intestine that stores urine and allows for more natural urination, similar to the function of a natural bladder. This option provides the ability to void through the urethra.
Choice C reason: While some initial incontinence can occur after neobladder surgery, the goal is to eventually have voluntary control over urination with time and practice.
Choice D reason: Having a stoma located in the abdomen is characteristic of an ileal conduit or urostomy, not a neobladder. The neobladder is designed to avoid the need for an external stoma.
Correct Answer is D
Explanation
Choice A reason: Monitoring bowel sounds is important for assessing gastrointestinal function, but it does not directly measure the effectiveness of lactulose in treating hepatic encephalopathy.
Choice B reason: Temperature monitoring is essential for detecting infection, but it does not indicate the effectiveness of lactulose in reducing ammonia levels.
Choice C reason: Abdominal pain should be monitored as a potential side effect of lactulose, but it is not an indicator of its effectiveness in treating hepatic encephalopathy.
Choice D reason: Stool frequency is the correct measure for monitoring the effectiveness of lactulose. Lactulose works by promoting the excretion of ammonia in the stool, thereby reducing serum ammonia levels and improving the symptoms of hepatic encephalopathy. Increased stool frequency indicates the medication is working.
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