A client is admitted to the hospital with a diagnosis of obstruction of the common bile duct due to cholelithiasis. Which of the following assessment findings are consistent with this diagnosis?

Casts in the urine

Dark, tarry stool

Jaundice

Pain in the left upper quadrant

Answer and Explanation

The Correct Answer is C

A.   Casts in the urine are typically associated with kidney problems, such as glomerulonephritis or kidney infections, rather than biliary obstruction. Casts are formed from proteins or cells in the renal tubules and are not related to bile duct obstruction or cholelithiasis.
B.   Dark, tarry stools are indicative of upper gastrointestinal bleeding and the presence of digested blood in the stool. This condition, known as melena, is not typically associated with obstruction of the common bile duct due to cholelithiasis.
C.   Jaundice is a common and significant finding in cases of obstruction of the common bile duct due to cholelithiasis. When the bile duct is obstructed, bilirubin, which is a component of bile, accumulates in the bloodstream because it cannot be properly excreted into the intestine.
D.   Pain from cholelithiasis (gallstones) typically occurs in the right upper quadrant, not the left. The right upper quadrant pain is often associated with gallbladder inflammation or bile duct obstruction.

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Correct Answer is ["B","E"]

Explanation

A. Atorvastatin is a statin used primarily to manage hyperlipidemia (high cholesterol levels) and reduce cardiovascular risk. However, it is not specifically used to treat heart failure symptoms or manage acute exacerbations.
B. Furosemide is a loop diuretic commonly used to manage heart failure. It helps reduce fluid overload by promoting diuresis (increased urine production), which can help alleviate symptoms of heart failure such as edema and pulmonary congestion.
C. Methimazole is an antithyroid medication used to manage hyperthyroidism. It is not used to treat heart failure. Thyroid disorders can impact heart failure, but methimazole itself does not address the acute symptoms or underlying mechanisms of heart failure.
D. Apixaban is an anticoagulant (blood thinner) used to prevent blood clots in conditions like atrial fibrillation. However, it is not used specifically to manage acute heart failure symptoms.
E. Digoxin is a cardiac glycoside that can be used to manage heart failure, especially in patients with atrial fibrillation. It helps improve cardiac output and control heart rate. Digoxin can be useful in managing heart failure symptoms by enhancing the heart's contractility and controlling the heart rate.

A. Raw vegetables with dip B. Granola bars C. Macaroni and cheese D. Dried fruit

Correct Answer is C

Explanation

A. Raw vegetables can be challenging for individuals with myasthenia gravis because they require significant chewing and can lead to fatigue of the jaw muscles. Additionally, raw vegetables can be difficult to swallow if there is significant weakness.
B. Granola bars can be hard and require extensive chewing. For a person with myasthenia gravis, the effort needed to chew and swallow these bars can lead to increased fatigue and difficulty managing meals.
C. Macaroni and cheese is a softer food that requires less chewing compared to raw vegetables or granola bars. It can be easier for individuals with myasthenia gravis to manage because it is soft and less likely to cause fatigue. Additionally, it can be enriched with nutrients and is easier to swallow, making it a more appropriate choice for a nutritional plan for someone with MG.
D. Dried fruit is typically tough and chewy, which can be difficult for someone with myasthenia gravis to handle. The chewing effort required can lead to muscle fatigue and discomfort.

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A client is admitted to the hospital with a diagnosis of obstruction of the common bile duct due to cholelithiasis. Which of the following assessment findings are consistent with this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with an acute heart failure exacerbation. Which of the following medications are commonly prescribed to manage heart failure? (Select all that apply.)

Correct Answer is ["B","E"]

Explanation

A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?

Correct Answer is C

Explanation

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