A client with obesity is concerned about the risk of developing cholecystitis. Which of the following explanations should the nurse provide regarding the relationship between obesity and gallstone formation?
"Obesity increases the production of bile, reducing the risk of gallstone formation."
"Obesity leads to decreased cholesterol levels in the bile, reducing the risk of gallstone formation."
"Obesity increases the concentration of cholesterol in the bile, promoting gallstone formation."
"Obesity slows down the emptying of the gallbladder, reducing the risk of gallstone formation."
The Correct Answer is C
Choice A reason:
Obesity does not increase the production of bile. However, it can lead to changes in bile composition, increasing the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Obesity is associated with an increased concentration of cholesterol in the bile, which can contribute to gallstone formation.
Choice C reason:
This statement is correct. Obesity increases the concentration of cholesterol in the bile, which promotes gallstone formation. When there is an excess of cholesterol in the bile, it can crystallize and form gallstones.
Choice D reason:
Obesity does not slow down the emptying of the gallbladder. On the contrary, obesity may lead to reduced gallbladder motility, which can contribute to gallstone formation due to stasis of bile.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
This statement is correct. Laparoscopic cholecystectomy involves making several small incisions, resulting in less postoperative pain, reduced scarring, and a shorter hospital stay compared to open surgery.
Choice B reason:
Open surgery may have advantages in certain situations, but for uncomplicated cases of acute cholecystitis, laparoscopic surgery is generally preferred due to its minimally invasive nature.
Choice C reason:
Laparoscopic surgery is associated with a shorter recovery time and faster return to normal activities compared to open surgery.
Choice D reason:
Laparoscopic surgery is not associated with a higher risk of postoperative infection. In fact, it is known for having lower rates of surgical site infections compared to open surgery.
Correct Answer is C
Explanation
Choice A reason:
Appendicitis typically presents with pain in the lower right abdomen and may be associated with fever and rebound tenderness.
Choice B reason:
Gastroenteritis can cause abdominal pain and vomiting, but it does not usually cause pain radiating to the right shoulder.
Choice C reason:
This statement is correct. Cholecystitis is characterized by severe right upper quadrant abdominal pain that may radiate to the right shoulder, along with nausea and vomiting.
Choice D reason:
Pancreatitis may cause upper abdominal pain, but it typically radiates to the back rather than the right shoulder.
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