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:

Resuming a normal diet immediately after surgery, especially if it is high in fat, can stress the digestive system and is not recommended after cholecystectomy.

Choice B reason:

Avoiding fatty foods for the first week after surgery is a general guideline, but clients should not limit their diet to this extent for an extended period.

Choice C reason:

This statement is correct. After cholecystectomy, clients can slowly reintroduce regular foods into their diet as tolerated. Gradually adding in more complex foods can help the body adjust to digestion without the gallbladder.

Choice D reason:

Continuing on a clear liquid diet for a few more days is not appropriate for a client who has already undergone cholecystectomy and has advanced past the initial post-operative phase.

A. Instructing the client to eat a high-fat diet to prepare for the surgery. B. Demonstrating deep-breathing exercises to promote lung expansion postoperatively. C. Explaining the importance of ambulating immediately after surgery. D. Discussing the possibility of experiencing diarrhea after the surgery.

Correct Answer is B

Explanation

Choice A reason:

Instructing the client to eat a high-fat diet before surgery is not appropriate and may exacerbate the symptoms of cholelithiasis. The client should follow a low-fat diet instead.

Choice B reason:

This statement is correct. Demonstrating deep-breathing exercises helps promote lung expansion postoperatively and prevents respiratory complications after anesthesia and surgery.

Choice C reason:

While ambulating is essential after surgery, it may not be the primary focus of preoperative education for a client undergoing cholecystectomy for cholelithiasis.

Choice D reason:

Discussing the possibility of experiencing diarrhea after the surgery is not a priority in preoperative education for a client with cholelithiasis undergoing cholecystectomy.

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

Correct Answer is C

Explanation

A client diagnosed with cholelithiasis is scheduled for a cholecystectomy. What should the nurse include in the preoperative education for the client?

Correct Answer is B

Explanation

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 scheduled for an oral cholecystogram (OCG) to assess for cholelithiasis. The client asks the nurse about the procedure. Which response by the nurse is appropriate?

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 cholelithiasis is prescribed ursodeoxycholic acid. Which statement by the client indicates understanding of the medication's purpose?

A client is recovering from cholecystectomy and asks the nurse how they can prevent gallstones from forming again. What is the nurse's best response?

A nurse is caring for a client with cholelithiasis. The client complains of a yellowish discoloration of the skin and eyes. Which term should the nurse use to describe this finding?

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?

A client has a family history of cholelithiasis and wants to know how to reduce their risk of developing gallstones. What is the nurse's best response?