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A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

"Genetic factors have no influence on gallstone formation."

"Family history increases the risk of developing gallstones by approximately 10%."

"Genetic factors play a significant role in determining bile composition, increasing the risk of gallstone formation."

"Family history only affects the risk of gallstones in men, not women."

Answer and Explanation

The Correct Answer is C

Choice A reason:

This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.

Choice B reason:

This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.

Choice C reason:

This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.

Choice D reason:

Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.

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Correct Answer is C

Explanation

Choice A reason:

This statement is incorrect. ERCP does not involve the use of magnetic resonance imaging (MRI). It is an endoscopic procedure that combines endoscopy with fluoroscopy to visualize the biliary system.

Choice B reason:

This statement is incorrect. ERCP uses a contrast dye, not a radioactive tracer, to visualize the biliary system and identify abnormalities or obstructions.

Choice C reason:

This statement is correct. ERCP is an invasive procedure that involves the use of an endoscope. The endoscope is inserted through the mouth and guided through the digestive tract to the duodenum, where contrast dye is injected into the biliary and pancreatic ducts to visualize their structures and identify any abnormalities.

Choice D reason:

This statement is incorrect. ERCP is not a non-invasive test that uses sound waves. It is an invasive procedure that requires the insertion of an endoscope into the body to view the biliary system.

A. Administer an antiemetic medication as prescribed to alleviate nausea and vomiting. B. Encourage the client to eat a high-fat diet to stimulate gallbladder function and reduce symptoms. C. Explain to the client that nausea and vomiting are common after surgery and will resolve on their own. D. Request an order for additional opioids to manage pain, as they may have contributed to the nausea.

Correct Answer is A

Explanation

Choice A reason:

This statement is correct. Administering an antiemetic medication can help alleviate nausea and vomiting, which are common side effects of opioid analgesics used for postoperative pain management.

Choice B reason:

Eating a high-fat diet is not recommended after cholecystectomy, as the gallbladder has been removed. Consuming high-fat foods may exacerbate symptoms and lead to digestive discomfort.

Choice C reason:

While nausea and vomiting can be common after surgery, it is important to address these symptoms to ensure the client's comfort and prevent dehydration or other complications.

Choice D reason:

Requesting additional opioids to manage pain may worsen the nausea and vomiting. It is essential to balance pain management with measures to minimize side effects like nausea.

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A client is concerned about the risk of developing cholecystitis due to a family history of gallstones. Which of the following explanations should the nurse provide regarding the genetic predisposition to gallstone formation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) to evaluate the biliary system for suspected cholecystitis. Which of the following explanations should the nurse provide to the client about this procedure?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

A nurse is caring for a client with suspected cholecystitis. The client complains of dark urine and pale-colored stools. Which of the following explanations should the nurse provide for these changes in bowel habits?

A client is diagnosed with chronic cholecystitis and asks the nurse about the potential complications of this condition. Which of the following responses should the nurse provide?

A nurse is teaching a client about the etiology of cholecystitis. Which of the following factors should the nurse include as a common cause of gallbladder inflammation?

A nurse is assessing a client with suspected cholecystitis. Which symptom would the nurse expect to find during the physical examination?

A nurse is caring for a client diagnosed with cholecystitis. The nurse should assess the client for which of the following classic clinical manifestations of this condition?

A client with cholecystitis is scheduled for a cholecystectomy and expresses fear and anxiety about the surgery. Which of the following statements by the nurse is most appropriate?

A nurse is providing discharge instructions to a client after a cholecystectomy. Which of the following statements by the client indicates a need for further teaching?

A client presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The client states the pain radiates to the right shoulder. Which of the following conditions should the nurse suspect based on these clinical manifestations?