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:
This statement is incorrect. Genetic factors can influence bile composition and the risk of gallstone formation.
Choice B reason:
This statement is incorrect. Family history of gallstones can significantly increase the risk of developing gallstones, more than 10%.
Choice C reason:
This statement is correct. Genetic factors play a significant role in determining bile composition and gallstone formation. Certain genetic variations can increase cholesterol levels or affect the balance of bile components, predisposing individuals to gallstone formation.
Choice D reason:
Family history of gallstones can affect the risk of gallstones in both men and women. It is not limited to a specific gender.
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