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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
Choice A reason:
Administering an antipyretic medication may help reduce the fever, but it does not address the underlying issue of the suspected infection. Notifying the healthcare provider about the client's symptoms is the priority action.
Choice B reason:
This statement is correct. The nurse should notify the healthcare provider immediately about the client's severe pain, fever, and chills to initiate appropriate assessment and treatment for a possible infection.
Choice C reason:
Encouraging the client to increase oral fluid intake is important for overall hydration, but it may not be the priority action when an infection is suspected.
Choice D reason:
Placing a heating pad on the client's abdomen may provide temporary relief for discomfort but is not appropriate when the client has a fever and suspected infection.
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