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A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

"Acute cholecystitis is a sudden onset of gallbladder inflammation, while chronic cholecystitis is a long-standing inflammation due to repeated episodes."

"Acute cholecystitis is caused by gallbladder cancer, while chronic cholecystitis is caused by gallstones."

"Acute cholecystitis is more common in older adults, while chronic cholecystitis is more common in young adults."

"Acute cholecystitis is treated with lifestyle modifications, while chronic cholecystitis requires surgical removal of the gallbladder."

Answer and Explanation

The Correct Answer is A

Choice A reason:

This statement is correct and explains the difference between acute and chronic cholecystitis. Acute cholecystitis is characterized by a sudden onset of inflammation, often caused by gallstones blocking the cystic duct. On the other hand, chronic cholecystitis is a long-standing inflammation resulting from repeated episodes of acute cholecystitis or chronic irritation from gallstones.

Choice B reason:

This statement is incorrect. While gallstones can be a cause of both acute and chronic cholecystitis, gallbladder cancer is not a typical cause of either condition.

Choice C reason:

This statement is incorrect. Acute cholecystitis can affect individuals of all age groups, and age is not a differentiating factor between acute and chronic cholecystitis.

Choice D reason:

This statement is incorrect. Both acute and chronic cholecystitis may require surgical intervention, depending on the severity and complications of the condition. Lifestyle modifications are often recommended to prevent gallstone formation and manage symptoms, but they are not the sole treatment for acute cholecystitis.

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Correct Answer is B

Explanation

Choice A reason:

While chronic cholecystitis can lead to complications, such as gallbladder inflammation and gallstones, it is not a typical cause of gallbladder cancer.

Choice B reason:

This statement is correct. Complications of chronic cholecystitis may include pancreatitis, which is inflammation of the pancreas, and cholangitis, which is inflammation of the bile ducts. These complications can occur if gallstones migrate from the gallbladder and obstruct the pancreatic or bile ducts.

Choice C reason:

This statement is incorrect. Chronic cholecystitis is inflammation of the gallbladder, not the pancreas. However, complications of chronic cholecystitis, such as gallstone migration, can cause acute inflammation of the pancreas (pancreatitis).

Choice D reason:

Complications of chronic cholecystitis do not typically include lung infections. The primary complications are related to the gallbladder, pancreas, and bile ducts.

A. "The itching is unrelated to your cholecystitis and may be due to an allergic reaction." B. "Cholecystitis can cause bile salts to accumulate in your skin, leading to itching." C. "The itching is a result of dehydration, which is common in cholecystitis." D. "Cholecystitis can cause elevated blood sugar levels, which may lead to itching."

Correct Answer is B

Explanation

Choice A reason:

Itching is not typically associated with an allergic reaction and is more likely related to cholecystitis itself or complications such as cholangitis or bile duct obstruction.

Choice B reason:

This statement is correct. Cholecystitis can cause bile salts to accumulate in the skin, leading to pruritus (itching). When the bile flow is obstructed or altered, bile salts may not be properly eliminated from the body, leading to their accumulation in the skin and causing itching.

Choice C reason:

Dehydration may occur in some cases of cholecystitis due to nausea, vomiting, or reduced fluid intake, but it is not the primary cause of pruritus.

Choice D reason:

Cholecystitis does not typically cause elevated blood sugar levels. However, certain conditions like diabetes mellitus may increase the risk of cholecystitis.

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A client is diagnosed with acute cholecystitis and asks the nurse about the difference between acute and chronic cholecystitis. Which of the following responses should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client diagnosed with cholecystitis reports experiencing severe itching (pruritus) on the skin. Which of the following explanations should the nurse provide for this symptom?

Correct Answer is B

Explanation

A client is scheduled for a hepatobiliary iminodiacetic acid (HIDA) scan to evaluate suspected cholecystitis. Which of the following explanations should the nurse provide to the client about the purpose of this test?

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 nurse is providing education to a client with a history of diabetes mellitus about the risk of developing cholecystitis. Which of the following explanations should the nurse include in the teaching?

A nurse is preparing a client for an abdominal ultrasound to evaluate suspected cholecystitis. Which of the following instructions should the nurse provide to the client before the procedure?

A nurse is caring for a client who had a cholecystostomy for cholecystitis. The client reports pain at the site of the drainage tube. Upon assessment, the nurse notes redness and swelling around the insertion site. Which of the following actions should the nurse take first?

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 client presents with severe right upper quadrant abdominal pain, fever, and jaundice (yellowing of the skin and eyes). Which of the following conditions should the nurse suspect based on these clinical manifestations?

A client diagnosed with acute cholecystitis is scheduled for a cholecystectomy. Which intervention should the nurse implement preoperatively?