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 D
Explanation
Choice A reason: The statement that the tube is a routine standard following this type of surgery is too vague and does not provide the client with specific information about the purpose of the NG tube. Providing clear and specific reasons for medical interventions helps improve client understanding and comfort.
Choice B reason: While NG tubes can be used for nutritional support, this is not typically their primary purpose in the immediate postoperative period for colectomy patients. The main purpose is usually decompression, not nutrition.
Choice C reason: Telling the client that the tube can be explained once they are stable after surgery does not adequately address the client's need for information before the procedure. It is essential to provide clear and accurate information beforehand to reduce anxiety and promote informed consent.
Choice D reason: This is the correct answer because it clearly explains the primary purpose of a large-bore NG tube after a colectomy, which is to remove gas and fluid from the stomach to prevent distension and complications such as nausea, vomiting, and aspiration.
Correct Answer is D
Explanation
Choice A reason: While auscultating the client's lungs is important for overall assessment, it is not the immediate priority following pain management in acute pancreatitis.
Choice B reason: Providing oral hygiene is important for comfort and preventing infections but is not the immediate priority.
Choice C reason: Assisting the client to a side-lying position can help with comfort and prevent aspiration, but it is not the most critical intervention following pain management.
Choice D reason: Withholding oral fluids and food is the priority intervention to reduce pancreatic stimulation and enzyme secretion, which can exacerbate the inflammation and pain in acute pancreatitis. This intervention helps rest the pancreas and promote healing.
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