A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

"Rapid weight loss can lead to gallstone formation, especially if you consume a high-fat diet."

"Rapid weight loss does not have any impact on gallstone formation or your gallbladder health."

"Rapid weight loss can reduce the risk of gallstone formation due to decreased bile production."

"Rapid weight loss may increase the risk of gallstone formation, especially if you follow a low-fat diet."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct. Rapid weight loss, especially when accompanied by a high-fat diet, can increase the risk of gallstone formation. Rapid weight loss can lead to an imbalance in bile composition, increasing the likelihood of gallstone development.

Choice B reason:

This statement is incorrect. Rapid weight loss can impact gallstone formation, and it is essential for the client to be aware of this potential risk.

Choice C reason:

Rapid weight loss does not reduce the risk of gallstone formation. In fact, it may increase the risk due to changes in bile composition and gallbladder motility.

Choice D reason:

This statement is incorrect. Rapid weight loss, especially with a low-fat diet, can contribute to gallstone formation due to changes in bile composition and gallbladder function.

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Correct Answer is D

Explanation

Choice A reason:

Antacids are not typically associated with an increased risk of gallstone formation.

Choice B reason:

Statins are used for cholesterol management and are not directly associated with gallstone formation.

Choice C reason:

Antibiotics are used to treat infections and do not significantly impact the risk of gallstone formation.

Choice D reason:

This statement is correct. Hormonal contraceptives, especially those containing estrogen, are associated with an increased risk of gallstone formation due to their impact on cholesterol metabolism in the gallbladder.

A. "Lithotripsy is a surgical procedure that involves removing the gallbladder." B. "During lithotripsy, sound waves are used to break up the gallstones into smaller pieces." C. "Lithotripsy is a medication that helps dissolve gallstones." D. "Lithotripsy is a diagnostic test to identify the location of the gallstones."

Correct Answer is B

Explanation

Choice A reason:

Lithotripsy is not a surgical procedure to remove the gallbladder. It is a non-invasive method to break up gallstones.

Choice B reason:

This statement is correct. Lithotripsy involves using sound waves to break up gallstones into smaller fragments that can pass through the bile ducts.

Choice C reason:

Lithotripsy is not a medication. It is a procedure used to treat gallstones.

Choice D reason:

Lithotripsy is not a diagnostic test. It is a therapeutic procedure to treat gallstones.

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A client has been diagnosed with cholelithiasis and asks the nurse about the potential impact of rapid weight loss on gallstone formation. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A client with cholelithiasis is scheduled for lithotripsy. What should the nurse teach the client about this procedure?

Correct Answer is B

Explanation

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 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 asks the nurse about the role of hormones in the development of cholelithiasis. 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 has a history of cholelithiasis and wants to know which foods to avoid to prevent gallstones. What is the nurse's best response?

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?

A nurse is assessing a client with suspected cholelithiasis. The client complains of nausea and vomiting after consuming fatty meals. Which term should the nurse use to document this finding?

A nurse is providing education to a client at risk of developing cholelithiasis. Which lifestyle factor should the nurse emphasize as a significant risk factor for gallstone formation?