A client with chronic cholecystitis reports experiencing indigestion and bloating after meals. The nurse should recognize these symptoms as related to which of the following factors?
Impaired gallbladder emptying
Excessive stomach acid production
Inflammation of the small intestine
Decreased production of pancreatic enzymes
The Correct Answer is A
Choice A reason:
This statement is correct. Chronic cholecystitis can lead to impaired gallbladder emptying, resulting in difficulties in digesting fats. Indigestion and bloating after meals are common manifestations of this problem.
Choice B reason:
Excessive stomach acid production is more associated with conditions like GERD or peptic ulcer disease, and it is not directly related to chronic cholecystitis.
Choice C reason:
Inflammation of the small intestine may cause abdominal pain, diarrhea, or malabsorption issues, but it is not specifically related to the symptoms described in the question.
Choice D reason:
Decreased production of pancreatic enzymes may lead to malabsorption issues and cause symptoms like diarrhea and steatorrhea. However, it is not the primary cause of indigestion and bloating after meals in chronic cholecystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
A diet high in fiber and low in fat is generally considered healthy, but it is not specifically associated with an increased or decreased risk of peptic ulcer disease.
Choice B reason:
Smoking and alcohol consumption are indeed risk factors for peptic ulcer disease. They can contribute to the development and exacerbation of ulcers.
Choice C reason:
This statement is correct. The use of NSAIDs, such as aspirin and ibuprofen, and Helicobacter pylori infection are well-established risk factors for peptic ulcer disease.
Choice D reason:
While stress and emotional factors may exacerbate peptic ulcer symptoms, they are not the primary cause of the condition. The primary causes are H. pylori infection and the use of NSAIDs.
Correct Answer is B
Explanation
Choice A reason:
Limiting fiber-rich foods is not a recommended preventive strategy for peptic ulcer disease. In fact, fiber can aid digestion and promote bowel regularity, which may be beneficial for some clients with peptic ulcers.
Choice B reason:
This statement is correct. Spicy and acidic foods can irritate the stomach lining and increase stomach acid production, potentially worsening symptoms for clients with peptic ulcers.
Choice C reason:
Increasing consumption of carbonated beverages is not advised, as they can cause bloating and increased gas production, which may exacerbate symptoms for clients with peptic ulcers.
Choice D reason:
Caffeine-containing beverages should be limited or avoided, as caffeine can stimulate gastric acid secretion and may worsen symptoms for clients with peptic ulcers.
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