A client asks the nurse about the role of hormones in the development of cholelithiasis. What is the nurse's best response?

"Hormones can cause gallbladder inflammation, leading to gallstone formation."

"Hormones can increase bile production, promoting the formation of gallstones."

"Hormones can influence cholesterol metabolism, contributing to gallstone formation."

"Hormones can weaken the gallbladder wall, causing gallstones to accumulate."

Answer and Explanation

The Correct Answer is C

Choice A reason:

While hormones can influence gallbladder function, they do not directly cause gallbladder inflammation leading to gallstone formation.

Choice B reason:

Hormones may affect bile production, but it is not the primary mechanism leading to gallstone formation.

Choice C reason:

This statement is correct. Hormones, especially estrogen, can influence cholesterol metabolism in the gallbladder, leading to an increased risk of cholesterol gallstone formation.

Choice D reason:

Hormones do not weaken the gallbladder wall, and this is not a direct mechanism for gallstone accumulation.

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Correct Answer is C

Explanation

Choice A reason:

Fasting for 24 hours is not necessary for an abdominal ultrasound for cholelithiasis evaluation.

Choice B reason:

Avoiding drinking water for 6 hours before the test is not required for an abdominal ultrasound.

Choice C reason:

This statement is correct. Clients undergoing an abdominal ultrasound for suspected cholelithiasis may be asked to eat a low-fat meal before the test to stimulate gallbladder contraction and enhance visualization of the gallbladder and bile ducts.

Choice D reason:

While there may be no specific dietary restrictions, eating a low-fat meal is often recommended to facilitate the evaluation of cholelithiasis during the ultrasound.

A. Diarrhea and abdominal cramping. B. Dizziness and lightheadedness. C. Dry mouth and blurred vision. D. Muscle weakness and fatigue.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. UDCA is a medication used to dissolve gallstones, and one of its potential adverse effects is diarrhea and abdominal cramping.

Choice B reason:

Dizziness and lightheadedness are not common adverse effects of UDCA.

Choice C reason:

Dry mouth and blurred vision are not typical adverse effects of UDCA.

Choice D reason:

Muscle weakness and fatigue are not common adverse effects of UDCA.

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A client asks the nurse about the role of hormones in the development of cholelithiasis. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who underwent an abdominal ultrasound for suspected cholelithiasis. The client asks the nurse about the preparation for the test. Which response by the nurse is accurate?

Correct Answer is C

Explanation

A client with cholelithiasis is prescribed ursodeoxycholic acid (UDCA) to dissolve gallstones. The nurse should educate the client about which potential adverse effect of this medication?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who underwent cholecystectomy for cholelithiasis. Which statement by the client indicates a need for further teaching?

A client with suspected cholelithiasis is scheduled for an abdominal ultrasound. The client asks the nurse about the purpose of the test. Which response by the nurse is appropriate?

A client is experiencing severe pain in the right upper abdomen, radiating to the back and right shoulder, after eating a high-fat meal. The nurse suspects cholelithiasis. Which action should the nurse take first to assist the client?

A nurse is caring for a client who had cholecystectomy for cholelithiasis. The client asks when they can resume their normal diet. What is the appropriate response by the nurse?

A client with cholelithiasis reports pain in the right upper abdomen that worsens after eating a large meal. Which term should the nurse use to describe this type of pain?

A nurse is assessing a client with cholelithiasis and asks about the client's medication history. Which medication is commonly associated with an increased risk of gallstone formation?

A nurse is assisting with a percutaneous transhepatic cholangiography (PTC) for a client with suspected cholelithiasis. What is the primary purpose of this diagnostic procedure?

A client with a history of cholelithiasis is interested in natural remedies to prevent the recurrence of gallstones. Which herbal supplement should the nurse caution the client against using?