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 B
Explanation
Choice A reason:
Increasing the intake of spicy foods can exacerbate symptoms in a client with peptic ulcer disease, as they can irritate the stomach lining and increase acid production.
Choice B reason:
This statement is correct. Consuming small, frequent meals throughout the day can help reduce stomach distention and pressure, minimizing the symptoms of peptic ulcer disease.
Choice C reason:
Avoiding fluids with meals is not a standard recommendation for peptic ulcer disease. Adequate hydration is important, and drinking fluids with meals should not significantly affect stomach distention.
Choice D reason:
Citrus fruits and juices are acidic and can aggravate the stomach lining in a client with peptic ulcer disease. It is best to avoid or limit their consumption.
QUESTIONS
Correct Answer is B
Explanation
Choice A reason:
Administering antacids one hour before meals would be less effective in providing pain relief during mealtime when stomach acid production is increased.
Choice B reason:
This statement is correct. Administering antacids with meals helps neutralize stomach acid during the digestion process and provides pain relief for clients with peptic ulcer disease.
Choice C reason:
Administering antacids two hours after meals may not effectively reduce pain during the mealtime when stomach acid production is at its peak.
Choice D reason:
Administering antacids at bedtime may help with overnight acid reduction, but it may not adequately address pain during meals when acid production is higher.
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