A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare provider?
Amber urine.
Yellow sclera.
Flatulence.
Belching.
The Correct Answer is B
B. Obstruction of bile flow leads to accumulation of bilirubin, a pigment produced by the breakdown of red blood cells, in the bloodstream and causes jaundice (yellowing of the sclera). Yellow sclera is a concerning sign that should be reported promptly to the healthcare provider as it indicates potential bile duct obstruction and impaired liver function
A. Amber urine refers to urine that is dark yellow, often indicating concentrated urine due to dehydration or certain medications. While amber urine may be noted in various conditions, it is not specifically indicative of a complication related to cholelithiasis.
C. While flatulence may be uncomfortable for the client, it is not typically indicative of a complication such as a gallstone lodged in the common bile duct.
D. belching may be uncomfortable for the client but is not typically indicative of a complication such as a gallstone lodged in the common bile duct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. pH 7.46, PCO2 55 mm Hg, HCO3 36 mEq/L, PO2 95 mm Hg
The pH is high (alkalotic).
The HCO3 level is elevated, indicating metabolic alkalosis.
The PCO2 is high (respiratory acidotic picture due to secondary response). This option matches the criteria for metabolic alkalosis.
A. pH 7.30, PCO2 20 mm Hg, HCO3 22 mEq/L, PO2 85 mm Hg
The pH is low (acidic), not alkalotic.
The HCO3 level is within the normal range.
The PCO2 is low, which could indicate respiratory alkalosis. This option does not match the criteria for metabolic alkalosis.
C. pH 7.49, PCO2 45 mm Hg, HCO3 32 mEq/L, PO2 90 mm Hg The pH is high (alkalotic).
The HCO3 level is elevated, indicating metabolic alkalosis. The PCO2 is within the normal range.
This option does not meet the criteria for metabolic alkalosis D pH 7.29, PCO2 35 mm Hg, HCO3 25 mEq/L, PO2 99 mm Hg
The pH is low (acidic), not alkalotic. The HCO3 level is low, not elevated. The PCO2 is within the normal range.
This option does not match the criteria for metabolic alkalosis.
Correct Answer is ["0.8"]
Explanation
The vial contains 0.3 mg of medication, which has been reconstituted with 2 mL of sterile water. Therefore, each milliliter of solution contains 0.15 mg of medication.
The prescribed dose is 0.125 mg, so the nurse should administer \( \frac{0.125\ mg}{0.15\ mg/mL} = 0.8333 \) mL of the solution.
After rounding to the nearest tenth, the nurse should administer 0.8 mL of the reconstituted solution to the client every other day.
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